Etemadian, Ali M.

Etemadian, Ali M. is an sole proprietor health care provider with primary practice located at 5343 Riverside Dr , Chino CA 91710-4252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Etemadian, Ali M. can be contacted via phone (909) 591-6227.

Contact Information

Primary practice address
5343 Riverside Dr Chino CA 91710-4252
Fax: (909) 591-6319
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A6377 California

Profile Details

NPI number 1316041718
LBN Legal business name Etemadian, Ali M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1316041718 NPPES
California MEDICAID 00AX63770

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