Individual
ALI HANI ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4725 MARKET ST, SAN DIEGO, CA 92102-4715
(619) 515-2560
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A15471
CA
207Q00000X
Family Medicine Physician
5101025821
MI
Other
Enumeration date
04/15/2014
Last updated
09/23/2022
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