Provider Demographics
NPI:1154476588
Name:ALY, AL SAID (MD)
Entity Type:Individual
Prefix:
First Name:AL
Middle Name:SAID
Last Name:ALY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2236 MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1033
Mailing Address - Country:US
Mailing Address - Phone:714-389-9689
Mailing Address - Fax:
Practice Address - Street 1:200 S MANCHESTER AVE
Practice Address - Street 2:650
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3217
Practice Address - Country:US
Practice Address - Phone:714-456-5253
Practice Address - Fax:714-456-7718
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2011-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA417002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery