Individual
OMAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6189 UNIVERSITY AVE, SAN DIEGO, CA 92115-5720
(619) 200-3403
Mailing address
6189 UNIVERSITY AVE, SAN DIEGO, CA 92115-5720
(619) 200-3403
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
NON EMERGENCY MEDICAL TRANSPORT
CA
05
—
343900000X
—
CA
Enumeration date
01/03/2020
Last updated
01/03/2020
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