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Individual

ALI NEMAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 SAN PABLO ST, SUITE 3450, LOS ANGELES, CA 90033-5310
(323) 442-6906
(323) 442-6255
Mailing address
1511 CAMDEN AVE, PH1, LOS ANGELES, CA 90025-8034

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A74814
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A748140
CA
01
00A748140328
CALOPTIMA
CA
01
050089889
RAILROAD MEDICARE
CA
01
0A4748140
BLUE SHIELD
CA
Enumeration date
06/20/2006
Last updated
06/11/2012
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