Organization
ALI MEDICAL MANAGEMENT CORPORATION
Active
Other names
Elite Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI MIRRAFATI (PRESIDENT)
(714) 544-1605
Entity
Organization
Contact information
Practice address
3140 RED HILL AVE STE 180, COSTA MESA, CA 92626-3440
(714) 544-1605
Mailing address
3140 RED HILL AVE STE 200, COSTA MESA, CA 92626-3400
(714) 544-1605
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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