Provider Demographics
NPI:1952590135
Name:NILI N. ALAI, MD, INC.
Entity Type:Organization
Organization Name:NILI N. ALAI, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D., CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NILI
Authorized Official - Middle Name:N
Authorized Official - Last Name:ALAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-582-7699
Mailing Address - Street 1:26081 MERIT CIR STE 109
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-7017
Mailing Address - Country:US
Mailing Address - Phone:949-582-7699
Mailing Address - Fax:949-582-7691
Practice Address - Street 1:26081 MERIT CIR STE 109
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-7017
Practice Address - Country:US
Practice Address - Phone:949-582-7699
Practice Address - Fax:949-582-7691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG24431Medicare UPIN