Individual
ALI SYED HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
(714) 665-1797
Mailing address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
(657) 241-3592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A16412
CA
Other
Enumeration date
06/30/2015
Last updated
08/15/2018
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