Individual
ALI SHOOSHTARI ALAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5078 MANOR RIDGE LN, SAN DIEGO, CA 92130-2896
(949) 562-4039
(949) 239-7799
Mailing address
5078 MANOR RIDGE LN, SAN DIEGO, CA 92130-2896
(949) 562-4039
(949) 239-7799
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A163793
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A163793
CA
Other
Enumeration date
12/08/2017
Last updated
08/15/2024
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