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MORENO VALLEY, CA 925527270
Individual Provider
KANEEZ ALI, PA
NPI 1639225154
Active
Pediatrics, Adolescent Medicine
Quick Facts
NPI Number
1639225154
Type
Individual (NPI-1)
Credential
PA
Status
Active
Enumeration Date
2007-01-26
Last Updated (NPPES)
2013-01-11
Primary Specialty / Taxonomy
| Taxonomy | Pediatrics, Adolescent Medicine |
| Taxonomy Code | 2080A0000X |
| License | PA13396 CA |
Mailing Address
PO BOX 7270MORENO VALLEY, CA 925527270
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.