Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 20A6561 | CA |
Y | 207R00000X | Internist | 20A6561 | CA |
Y | 111NI0900X | Internist | 20A6561 | CA |
N | 207VX0000X | Obstetrician | 20A6561 | CA |
N | 208000000X | Pediatrician | 20A6561 | CA |
NPI | 1295955938 |
---|---|
Provider Name | Alija Ali |
First Address | Whittier, CA 90605-3436 |
Second Address | Whittier, CA 90605-3436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 19/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295955938 | (05) | CA |
FG8323 | (02) |