Individual
ALI RAZA EFFENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 STOCKDALE HWY, BAKERSFIELD, CA 93309-2150
(661) 827-3036
Mailing address
393 E WALNUT ST FL 3, PASADENA, CA 91188-0001
(626) 405-7914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036114974
IL
207Q00000X
Family Medicine Physician
C130612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7215059
BCBS PPO
IL
01
—
C130612
THE MEDICAL BOARD OF CALIFORNIA
CA
01
—
ME101915
MEDICAL LICENSE
FL
Enumeration date
06/02/2006
Last updated
11/29/2021
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