Individual
DR. ALI S ALAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 SUNNYCREST DR, #3400, FULLERTON, CA 92835-3638
(714) 879-2410
(714) 879-5340
Mailing address
1950 SUNNYCREST DR, #3400, FULLERTON, CA 92835-3638
(714) 879-2410
(714) 879-5340
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
122109
MT
208800000X
Urology Physician
35.151394
OH
208800000X
Urology Physician
Primary
A79874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0552498
CLIA
CA
01
—
05D0684380
CLIA
CA
01
—
05D0977537
CLIA
CA
01
—
1851498133
GROUP NPI
CA
01
—
208800000X
TAXONOMY
CA
05
—
A79874
—
CA
01
—
GR0011581
MEDI-CAL GROUP NUMBER
CA
01
—
YYY49655Y
BLUE SHEILD GRP NUMBER
CA
Enumeration date
11/08/2006
Last updated
10/30/2024
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