| S. A. Kassamali Md Inc | |
|
13561 Ginger Glen Rd San Diego CA 92130-6913 | |
| (858) 755-2970 | |
| Not Available |
| Full Name | S. A. Kassamali Md Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13561 Ginger Glen Rd, San Diego, California |
| Authorized Official Name and Position | Sultanali Amirali Kassamali (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 8587552970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. A. Kassamali Md Inc 13561 Ginger Glen Rd San Diego CA 92130-6913 Ph: (858) 755-2970 | S. A. Kassamali Md Inc 13561 Ginger Glen Rd San Diego CA 92130-6913 Ph: (858) 755-2970 |
| NPI Number | 1477886794 |
|---|---|
| Provider Enumeration Date | 09/18/2009 |
| Last Update Date | 09/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477886794 | NPI | - | NPPES |
| 00A325250 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A032525 (California) | Primary |
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