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NPI Code Detail

MEDICARE: ALI A. ALI M.D.

MEDICARE: ALI A. ALI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA26102CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598786113
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI A. ALI M.D.
Provider Business Mailing Address
First Line : 12269 ALTA PANORAMA
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-1302
Country : US
Telephone Number : 714-220-4526
Fax Number : 714-828-7673
Provider Business Practice Location Address
First Line : 3350 W BALL RD
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-3710
Country : US
Telephone Number : 714-220-4526
Fax Number : 714-828-7673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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