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Individual

ALI ALJIDUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
514 N PROSPECT AVE STE 103, REDONDO BEACH, CA 90277-3037
(310) 937-8555
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39
CA
207Q00000X
Family Medicine Physician
Primary
A182075
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
A182075
CA

Other

Enumeration date
04/02/2020
Last updated
09/04/2024
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