Ehsan, Ali

Ehsan, Ali is an sole proprietor health care provider with primary practice located at 13805 Pemberley Passage Ave , Bakersfield CA 93311-8745. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Ehsan, Ali can be contacted via phone (949) 273-9681.

Contact Information

Primary practice address
13805 Pemberley Passage Ave Bakersfield CA 93311-8745
Phone: (949) 273-9681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 52380 California
Dental Providers / Endodontics 1223E0200X 52380 California

Profile Details

NPI number 1699813550
LBN Legal business name Ehsan, Ali
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2020 - about 5 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 1699813550 NPPES
California MEDICAID D52380

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