Individual
DR. ALI ESMAILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5652
Mailing address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12675
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033390562
—
NV
01
—
AS172Z
PTAN
NV
Enumeration date
11/27/2007
Last updated
11/29/2021
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