Organization
ALI A ALI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI A ALI M.D. (OWNER)
(714) 220-4526
Entity
Organization
Contact information
Practice address
3350 W BALL RD, ANAHEIM, CA 92804-3710
(714) 220-4526
Mailing address
12269 ALTA PANORAMA, SANTA ANA, CA 92705-1302
(714) 220-4526
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A26102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A261020
—
CA
Enumeration date
02/04/2009
Last updated
02/04/2009
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