Provider Demographics
NPI:1356056154
Name:ALI M. STROCKER, M.D. A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ALI M. STROCKER, M.D. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:STROCKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-905-1198
Mailing Address - Street 1:18425 BURBANK BLVD STE 412
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6912
Mailing Address - Country:US
Mailing Address - Phone:818-905-1195
Mailing Address - Fax:818-905-8527
Practice Address - Street 1:18425 BURBANK BLVD STE 412
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6912
Practice Address - Country:US
Practice Address - Phone:818-905-8118
Practice Address - Fax:818-905-8527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric OtolaryngologyGroup - Multi-Specialty