Individual
DR. ALI EZZATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
32 BRAMPTON LN, GREAT NECK, NY 11023-1325
(857) 636-2259
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
288381
NY
2084N0400X
Neurology Physician
Primary
A174796
CA
Other
Enumeration date
06/04/2013
Last updated
09/04/2024
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