Provider Demographics
NPI:1043031040
Name:JAMALI, ALI
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:JAMALI
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 1:24191 PASEO DE VALENCIA STE C
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-3135
Mailing Address - Country:US
Mailing Address - Phone:949-855-6658
Mailing Address - Fax:
Practice Address - Street 1:24191 PASEO DE VALENCIA STE C
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-3135
Practice Address - Country:US
Practice Address - Phone:949-855-6658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9051237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist