Individual
DR. FADI HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8860 CENTER DR, SUITE 320, LA MESA, CA 91942-3068
(619) 376-1904
Mailing address
8860 CENTER DR, SUITE 320, LA MESA, CA 91942-3068
(619) 376-1904
(619) 376-1909
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A80687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64068463
—
KY
Enumeration date
07/17/2006
Last updated
03/09/2015
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