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:
Health care specialties
Specialty | Code | License # | 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 17 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 | 1205893245 | NPPES |
California | MEDICAID | 00A43523 |
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