Provider Demographics
NPI:1861901779
Name:MALINOMAR, AHMED A (NON-EMERGENCY MEDICA)
Entity type:Individual
Prefix:MR
First Name:AHMED
Middle Name:A
Last Name:MALINOMAR
Suffix:
Gender:M
Credentials:NON-EMERGENCY MEDICA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4265 FAIRMOUNT AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1266
Mailing Address - Country:US
Mailing Address - Phone:619-981-2456
Mailing Address - Fax:
Practice Address - Street 1:4265 FAIRMOUNT AVE STE 270
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1266
Practice Address - Country:US
Practice Address - Phone:619-981-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)