| Mohsen I. Ali, M.d. | |
|
1330 W Covina Blvd Suite 103 San Dimas CA 91773-3200 | |
| (909) 592-2145 | |
| (909) 599-6217 |
| Full Name | Mohsen I. Ali, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1330 W Covina Blvd, San Dimas, California |
| Authorized Official Name and Position | Mohsen Ibrahim Ali (OWNER) |
| Authorized Official Contact | 9095922145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohsen I. Ali, M.d. Po Box 4438 Rancho Cucamonga CA 91729-4438 Ph: (909) 592-2145 | Mohsen I. Ali, M.d. 1330 W Covina Blvd Suite 103 San Dimas CA 91773-3200 Ph: (909) 592-2145 |
| NPI Number | 1366765497 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Medicare PECOS PAC ID | 4587649124 |
|---|---|
| Medicare Enrollment ID | O20050331001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366765497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A33406 (California) | Primary |
| Provider Name | Mohsen I Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750359071 PECOS PAC ID: 3274428545 Enrollment ID: I20081126000229 |
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