Ali, Mir Baquar

Ali, Mir Baquar is an individual health care provider with primary practice located at 18111 Brookhurst Street Suite 5600, Fountain Valley CA 92708-6728. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ali, Mir Baquar can be contacted via phone (714) 861-4666.

Contact Information

Primary practice address
18111 Brookhurst Street Suite 5600 Fountain Valley CA 92708-6728
Phone: (714) 861-4666
Fax: (714) 861-4682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G72359 California

Profile Details

NPI number 1184689663
LBN Legal business name Ali, Mir Baquar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 19th, 2011 - about 15 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 1184689663 NPPES
California MEDICAID 00G723590

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