MEDICARE: ALI ALAMAR MD A PROFESSIONAL CORP

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	207R00000X	Internal Medicine	A69613	CA

General Provider Information

NPI Number	:	1851497465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALI ALAMAR MD A PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	2658 DEL MAR HEIGHTS RD # 504
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-3100
Country	:	US
Telephone Number	:	619-402-4919
Fax Number	:

Provider Business Practice Location Address
First Line	:	2658 DEL MAR HEIGHTS RD # 504
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-3100
Country	:	US
Telephone Number	:	619-402-4919
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALI ALAMAR
Credential	:	M.D.
Telephone Number	:	619-402-4919

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	12/04/2014

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