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DR. ALTAF LUTFE ALI M.D.
Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1376722736
Individual Registrant:DR. ALTAF LUTFE ALI M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5365 WALNUT AVE STE. L CHINO, CA 91710-2622 US
Tel: 909-591-7395 Fax: 909-591-5097
Tel: 909-591-7395 Fax: 909-591-5097
Contact information for business:
5365 WALNUT AVE STE. L CHINO, CA 91710-2622 US
Tel: 909-591-7395 Fax: 909-591-5097
Tel: 909-591-7395 Fax: 909-591-5097
Registration Information:
NPI: 1376722736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207RC0000X | Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease | CA | A42679 |
| Y | 207RI0011X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A42679 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A426791 | CA | 05 |
