Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A92960 | CA |
N | 111NI0900X | Internist | A92960 | CA |
Y | 207RH0000X | Hematologist | A92960 | CA |
N | 207RH0003X | Hematology & Oncology | A92960 | CA |
NPI | 1467672907 |
---|---|
Provider Name | Haris Ali |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Duarte, CA 91010-3012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 07/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A929600 | (05) | CA |