Organization
S. A. KASSAMALI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULTANALI AMIRALI KASSAMALI M.D. (PRESIDENT OF CORPORATION)
(858) 755-2970
Entity
Organization
Contact information
Practice address
13561 GINGER GLEN RD, SAN DIEGO, CA 92130-6913
(858) 755-2970
Mailing address
13561 GINGER GLEN RD, SAN DIEGO, CA 92130-6913
(858) 755-2970
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A032525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A325250
—
CA
Enumeration date
09/18/2009
Last updated
09/18/2009
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