Provider Demographics
NPI:1104094531
Name:MOHSIN ALI M.D. INC.
Entity type:Organization
Organization Name:MOHSIN ALI M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-865-0220
Mailing Address - Street 1:13233 BRIARWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7384
Mailing Address - Country:US
Mailing Address - Phone:562-865-0220
Mailing Address - Fax:562-809-2050
Practice Address - Street 1:13233 BRIARWOOD ST
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7384
Practice Address - Country:US
Practice Address - Phone:562-865-0220
Practice Address - Fax:562-809-2050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36319207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A363190Medicaid
CA00A363190Medicaid