Amirrezvani, Ali

Amirrezvani, Ali is an sole proprietor health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Amirrezvani, Ali can be contacted via phone (858) 249-6748.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (858) 249-6748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G88284 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G88284 California

Profile Details

NPI number 1861485005
LBN Legal business name Amirrezvani, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Aug 31st, 2017 - about 7 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 1861485005 NPPES
New York MEDICAID 01706716

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