Ali, Mohsen Ibrahim

Ali, Mohsen Ibrahim is an individual health care provider with primary practice located at 1330 W Covina Blvd Suite 103, San Dimas CA 91773-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ali, Mohsen Ibrahim can be contacted via phone (909) 592-2145.

Contact Information

Primary practice address
1330 W Covina Blvd Suite 103 San Dimas CA 91773-3200
Phone: (909) 592-2145
Fax: (909) 599-6217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A33406 California

Profile Details

NPI number 1750359071
LBN Legal business name Ali, Mohsen Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750359071 NPPES
California MEDICAID 00A334060

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