Individual
KANEEZ ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
215 W 4TH ST, PERRIS, CA 92570-2010
(951) 943-4751
(951) 657-3522
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
(951) 656-1500
(951) 656-1510
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
PA13396
CA
Other
Enumeration date
01/26/2007
Last updated
01/11/2013
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