Individual
ALI KHADEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4145 CLARES ST STE A, CAPITOLA, CA 95010-2053
(831) 662-9999
(831) 662-9998
Mailing address
4145 CLARES ST, STE A, CAPITOLA, CA 95010-2053
(831) 662-9999
(831) 662-9998
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20A 7421
CA
Other
Enumeration date
11/15/2006
Last updated
05/31/2020
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