Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A41700 | CA |
NPI | 1154476588 |
---|---|
Provider Name | Al Said Aly |
First Address | Tustin, CA 92782-1033 |
Second Address | Orange, CA 92868-3217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/12/2011 |