Individual
ALI MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9350 CAMPUS POINT DR, SUITE 2B MAIL CODE 0975, LA JOLLA, CA 92037-1300
(858) 657-8440
Mailing address
200 W ARBOR DR, MC 0840 UCSD MEDICAL CENTER HILLCREST, SAN DIEGO, CA 92103-9000
(858) 657-8440
(858) 657-8069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35086775
OH
207R00000X
Internal Medicine Physician
Primary
C54460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497711626
—
CA
05
—
2613541
—
OH
Enumeration date
04/25/2006
Last updated
11/29/2021
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