Organization
ALTAF L ALI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALTAF L ALI M.D. (PRESIDENT)
(909) 591-7395
Entity
Organization
Contact information
Practice address
5365 WALNUT AVE, STE H, CHINO, CA 91710-2622
(909) 591-7395
(909) 591-5097
Mailing address
5365 WALNUT AVE, STE H, CHINO, CA 91710-2622
(909) 591-7395
(909) 591-5097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A426791
—
CA
Enumeration date
04/10/2006
Last updated
06/27/2013
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