Organization
SOUTHERN CALIFORNIA FATTY LIVER CENTER INC
Active
Organization
SOUTHERN CALIFORNIA FATTY LIVER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAREK HASSANEIN (OPERATIONS)
(619) 990-1698
Entity
Organization
Contact information
Practice address
2436 FENTON ST # 100, CHULA VISTA, CA 91914-3516
(619) 377-8391
Mailing address
131 ORANGE AVE STE 100, CORONADO, CA 92118-1408
(619) 377-8391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
10/16/2025
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