MEDICARE: DR. NILI N. ALAI 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
1	174400000X	Specialist	AO54538	CA

General Provider Information

NPI Number	:	1245326206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILI N. ALAI M.D.

Provider Business Mailing Address
First Line	:	26081 MERIT CIR STE 109
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-7017
Country	:	US
Telephone Number	:	949-582-7699
Fax Number	:	949-582-7691

Provider Business Practice Location Address
First Line	:	26081 MERIT CIR STE 109
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-7017
Country	:	US
Telephone Number	:	949-582-7699
Fax Number	:	949-582-7691

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	11/29/2010

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