Provider Demographics
NPI:1588496657
Name:HOMAYOONIEH, ALI
Entity type:Individual
Prefix:MR
First Name:ALI
Middle Name:
Last Name:HOMAYOONIEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 TAROCCO
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-0309
Mailing Address - Country:US
Mailing Address - Phone:949-607-7804
Mailing Address - Fax:
Practice Address - Street 1:81 TAROCCO
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-0309
Practice Address - Country:US
Practice Address - Phone:949-607-7804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program