Individual
ALI SOOZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PHD
Contact information
Practice address
2577 SAMARITAN DRIVE, STE 855F, SAN JOSE, CA 95124
(408) 402-9521
(408) 402-9931
Mailing address
2577 SAMARITAN DRIVE, STE 855F, SAN JOSE, CA 95124
(408) 402-9521
(408) 402-9931
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A7210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX72100
—
CA
01
—
60067034
TAT
CA
01
—
ZZZ01403Z
BLUE CROSS
CA
Enumeration date
04/14/2006
Last updated
09/14/2010
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