Individual
DR. ALI YOUSSEF FAKHREDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 SANTA FE DR, ENCINITAS, CA 92024-5110
(760) 633-7280
(760) 633-7093
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 633-7280
(760) 633-7093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A133244
CA
207RG0100X
Gastroenterology Physician
Primary
A133244
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2013
Last updated
04/06/2021
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