Individual
DR. ALI AMIRREZVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 249-6748
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G88284
CA
208M00000X
Hospitalist Physician
Primary
G88284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01706716
—
NY
Enumeration date
08/23/2005
Last updated
08/31/2017
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