Individual
SCOTT JAMEEL MUBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3030 CHILDRENS WAY, SUITE 410, SAN DIEGO, CA 92123-4232
(858) 966-6789
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G22877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G228770
—
CA
Enumeration date
11/13/2006
Last updated
09/20/2011
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