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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
USAMA ALKAZAKI (OWNER)
(619) 354-4694
Entity
Organization

Contact information

Practice address
436 S MAGNOLIA AVE STE 201, EL CAJON, CA 92020-5237
(619) 704-3229
Mailing address
505 N MOLLISON AVE STE 103, EL CAJON, CA 92021-6159
(619) 354-4694
(619) 310-9709

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207V00000X
Obstetrics & Gynecology Physician
251B00000X
Case Management Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
08/18/2021
Last updated
04/20/2023
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