Ali, Mir Baquar
Ali, Mir Baquar is an individual health care provider with primary practice located at 18111 Brookhurst Street Suite 5600, Fountain Valley CA 92708-6728. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ali, Mir Baquar can be contacted via phone (714) 861-4666.Contact Information
Primary practice address
18111 Brookhurst Street Suite 5600
Fountain Valley CA 92708-6728
Phone: (714) 861-4666
Fax: (714) 861-4682
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G72359 | California |
Profile Details
NPI number | 1184689663 |
---|---|
LBN Legal business name | Ali, Mir Baquar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2006 |
Last updated | Jul 19th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184689663 | NPPES |
California | MEDICAID | 00G723590 |
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