Organization
ALI JOHN ENAYATI MD MPH PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Ali John Enayati MD MPH, Inc., Century Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LIZANNE ELAINE WEBB (ADMINISTRATOR)
(646) 298-6422
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 1806, LOS ANGELES, CA 90067-2021
(310) 551-1711
(310) 551-1311
Mailing address
2080 CENTURY PARK E STE 1806, LOS ANGELES, CA 90067-2009
(310) 551-1711
(310) 551-1311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/12/2018
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