Healthcare Provider Details

I. General information

NPI: 1457507998
Provider Name (Legal Business Name): AHMED MAKI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES CA
90033-2434
US

IV. Provider business mailing address

1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES CA
90033-2434
US

V. Phone/Fax

Practice location:
  • Phone: 323-268-6731
  • Fax:
Mailing address:
  • Phone: 323-268-6731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number5101017811
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: