Individual
DR. ALI SEPEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SAN MIGUEL DR STE 409, NEWPORT BEACH, CA 92660-7822
(949) 371-6963
(949) 313-7757
Mailing address
360 SAN MIGUEL DR STE 409, NEWPORT BEACH, CA 92660-7822
(949) 371-6963
(949) 313-7757
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A93414
CA
207YS0123X
Facial Plastic Surgery Physician
Primary
A93414
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A93414
CA
208200000X
Plastic Surgery Physician
A93414
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A93414
CA
Other
Enumeration date
10/18/2007
Last updated
12/05/2022
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