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Ali Jaafar Mahmoud Haidar

Student in an Organized Health Care Education/Training Program in Orange, CA. Individual provider (NPI-1).

NPI number1386583425
StatusActive
Last updated in NPPESMar 25, 2026

Details

NPI
1386583425
Entity type
Individual (NPI-1)
Name
Ali Jaafar Mahmoud Haidar
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2026
Certification date
Mar 25, 2026
Last updated
Mar 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

101 The City Dr S Ste 400
Orange, CA 92868-3201

Phone 714-456-5691

Mailing address

4134 W 176th St
Torrance, CA 90504-3124

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