Individual
MENA SAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR # MC8895, SAN DIEGO, CA 92103
(619) 543-1967
(619) 543-5521
Mailing address
200 W ARBOR DR # MC8895, SAN DIEGO, CA 92103-1911
(619) 543-1967
(619) 543-5521
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A180607
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/02/2017
Last updated
11/13/2023
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