Individual
ALI ABDALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6193 UNIVERSITY AVE, SAN DIEGO, CA 92115-5720
(619) 365-0072
Mailing address
PO BOX 153738, SAN DIEGO, CA 92195-3739
(619) 365-0072
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
NON-EMERGENCY MEDICAL TRANSPORTATION
—
Enumeration date
05/09/2019
Last updated
02/09/2024
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