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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