Individual
DR. WASEEM MAJED KHADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(858) 367-0421
(858) 365-5910
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A16567
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
20A16567
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
20A16567
CA
Other
Enumeration date
05/31/2016
Last updated
01/16/2026
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