Provider Demographics
NPI:1154447902
Name:STROCKER, ALI MARNI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:MARNI
Last Name:STROCKER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:18425 BURBANK BLVD
Mailing Address - Street 2:SUITE 412
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2806
Mailing Address - Country:US
Mailing Address - Phone:818-905-8118
Mailing Address - Fax:818-905-8527
Practice Address - Street 1:18425 BURBANK BLVD
Practice Address - Street 2:SUITE 412
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2806
Practice Address - Country:US
Practice Address - Phone:818-905-8118
Practice Address - Fax:818-905-8527
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2016-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA81361207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology