Individual
DR. BASMA AL NAHLAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 W SAN MARCOS BLVD STE 210, SAN MARCOS, CA 92078-1147
(760) 707-6765
(760) 736-8092
Mailing address
PO BOX 511475, LOS ANGELES, CA 90051-8030
(866) 284-2771
(800) 334-1041
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A115924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB257814
MEDICARE PTAN
CA
Enumeration date
05/19/2009
Last updated
03/23/2023
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