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General NPI Number Information
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NPI Number | 1821165143
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Entity Type | Individual
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Provider Name | SYED OMAR ALI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 7345 MEDICAL CENTER DR STE 310
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City | WEST HILLS
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State | CA
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Zip | 91307-1961
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Country | US
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Telephone | 818-884-8044
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Fax | 818-884-8196
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Provider Business Mailing Address
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Address Line | 7345 MEDICAL CENTER DR STE 310
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City | WEST HILLS
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State | CA
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Zip | 91307-1961
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Country | US
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Telephone | 818-884-8044
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Fax | 818-884-8196
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 056951
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | N9338
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 056951
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | C197728
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | C197728
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License Number State | CA
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