Mahmoud Ajang M.D., a Professional Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A37717 Issued in CA

Legal business name

MAHMOUD AJANG M.D., A PROFESSIONAL MEDICAL CORPORATION

Practice address

378 W 6TH St
San Pedro, CA 90731-3338

Phone

(310) 547-1801

Fax

(310) 547-3015

NPI assigned

Jun 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmoud Ajang, M.D.NPI 1922182682

Title

President

Phone

(310) 547-2882

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahmoud Ajang, MD

  • Psychiatry Physician
  • San Pedro, CA
  • NPI 1922182682
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1346400819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 HIGHTIDE DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756131",
            "telephone_number": "310-547-2882",
            "fax_number": "310-547-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313338",
            "telephone_number": "310-547-1801",
            "fax_number": "310-547-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOUD AJANG M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "AJANG",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-547-2882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A37717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A377170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Churairat Maffei
• Carmen Christy Magallon
• Hiedy Magana, LVN
• Luis G Magdaleno, MD
• Camia Magee
• Phong Mai
• Gregg Robert Makovic, D.P.M.
• Sonia Malhotra
• Marissa U Manai
• Ra'Vonne Mandac

• Psychiatry Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.