Individual
MOHAMMED M AL-JASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S IMPERIAL AVE, SUITE #8, EL CENTRO, CA 92243-4242
(760) 336-3773
(760) 370-3229
Mailing address
PO BOX 3156, EL CENTRO, CA 92244-3156
(760) 336-3773
(760) 370-3229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82827
CA
207RI0200X
Infectious Disease Physician
Primary
A82827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760479786
—
CA
Enumeration date
10/04/2005
Last updated
11/11/2011
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