Individual provider · Type 1 NPI

Cameron Shahzada Ansari, DO (STUDENT)

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1245023712 Active

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Call (909) 623-6116 Map

Mailing address

2670 Santa Fiora Dr
Corona, CA 92882-8080

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245023712

Cameron Shahzada Ansari, DO (STUDENT)'s National Provider Identifier is 1245023712, issued on May 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on May 27, 2025.