Provider Demographics
NPI:1366670515
Name:RAZMARA, ALI (MD)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:RAZMARA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6650 ALTON PKWY
Mailing Address - Street 2:ALTON SAND CANYON MEDICAL OFFICE 2
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3734
Mailing Address - Country:US
Mailing Address - Phone:888-988-2800
Mailing Address - Fax:
Practice Address - Street 1:6650 ALTON PKWY
Practice Address - Street 2:ALTON SAND CANYON MEDICAL OFFICE 2
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3734
Practice Address - Country:US
Practice Address - Phone:888-988-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2021-12-08
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Provider Licenses
StateLicense IDTaxonomies
CAA1264672084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology