MEDICARE: YASMEEN NADHEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	85231	CA

General Provider Information

NPI Number	:	1639835150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMEEN NADHEM

Provider Business Mailing Address
First Line	:	3147 RANCHO DIEGO CIR
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-5119
Country	:	US
Telephone Number	:	619-655-1466
Fax Number	:

Provider Business Practice Location Address
First Line	:	10575 SCRIPPS POWAY PKWY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-3917
Country	:	US
Telephone Number	:	858-547-3939
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2021
Last Update Date	:	11/09/2021

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Directions to “ YASMEEN NADHEM ” Practice Location

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