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NPI Code Detail

MEDICARE: DR. AMMER ATTIF HAFFAR X MD

MEDICARE: DR. AMMER ATTIF HAFFAR X MD
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
1207R00000XInternal Medicine PhysicianA178461CA
2207R00000XInternal Medicine PhysicianME161726FL
3390200000XStudent in an Organized Health Care Education/Training ProgramNJ

General Provider Information

NPI Number : 1942760822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMMER ATTIF HAFFAR X MD
Provider Business Mailing Address
First Line : 2857 WYCLIFFE ST
Second Line :
City : CORONA
State : CA
Zip : 92879-8273
Country : US
Telephone Number : 951-264-3258
Fax Number :
Provider Business Practice Location Address
First Line : 1809 NATIONAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-2113
Country : US
Telephone Number : 619-515-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 03/16/2026

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Directions to “ DR. AMMER ATTIF HAFFAR X MD” Practice Location

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