Healthcare Provider Details

I. General information

NPI: 1891604864
Provider Name (Legal Business Name): HALA ALIZZI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 BROADWAY
EL CAJON CA
92021-4902
US

IV. Provider business mailing address

123 MARSDEN CT
EL CAJON CA
92020-2946
US

V. Phone/Fax

Practice location:
  • Phone: 619-441-8040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: