Organization
SOUTHERN CALIFORNIA LIVER CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK I. HASSANEIN (OWNER/PRESIDENT)
(619) 990-1698
Entity
Organization
Contact information
Practice address
131 ORANGE AVE STE 101, CORONADO, CA 92118-1408
(619) 522-0399
Mailing address
PO BOX 181770, CORONADO, CA 92178-1770
(619) 964-9649
(619) 996-2014
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207RI0008X
Hepatology Physician
Primary
A54452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A544520
—
CA
Enumeration date
02/07/2007
Last updated
10/14/2025
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