Ismail, Habib Ali

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

Contact Information

Primary practice address
1330 W Covina Blvd Ste 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 with Special Qualifications in Child Neurology 2084N0402X A43523 California

Profile Details

NPI number 1205893245
LBN Legal business name Ismail, Habib Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 5th, 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 1205893245 NPPES
California MEDICAID 00A43523

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