Individual
MOHSEN IBRAHIM ALI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 W COVINA BLVD, SUITE 103, SAN DIMAS, CA 91773-3200
(909) 592-2145
(909) 599-6217
Mailing address
1330 W COVINA BLVD, SUITE 103, SAN DIMAS, CA 91773-3200
(909) 592-2145
(909) 599-6217
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A33406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A334060
—
CA
Enumeration date
03/11/2006
Last updated
07/08/2007
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