Individual
NIDA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(530) 752-2884
(530) 754-6047
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(530) 752-2884
(530) 754-6047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015015417
MO
207RR0500X
Rheumatology Physician
Primary
A156233
CA
208M00000X
Hospitalist Physician
A156233
CA
Other
Enumeration date
06/17/2015
Last updated
07/23/2020
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