Healthcare Provider Details

I. General information

NPI: 1265360614
Provider Name (Legal Business Name): AHMED NASIR MOHAMED ALSUWA ALZAABI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S. MANCHESTER AVE SUITE 206
ORANGE CA
92868
US

IV. Provider business mailing address

11350 83 AVE NW 7TH FL
EDMONTON ALBERTA
T6G2G3
CA

V. Phone/Fax

Practice location:
  • Phone: 714-456-2356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: