Individual
AMMAR CHARESTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 FIR ST FL 1, SAN DIEGO, CA 92101-2393
(619) 446-1575
Mailing address
1320 LORNA AVE, EL CAJON, CA 92020-7570
(310) 910-2169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301500313
MI
207Q00000X
Family Medicine Physician
Primary
A166970
CA
Other
Enumeration date
05/05/2016
Last updated
08/13/2024
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