Healthcare Provider Details

I. General information

NPI: 1497117626
Provider Name (Legal Business Name): NAJIB USSEF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2016
Last Update Date: 12/08/2021
Certification Date: 06/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 TRAVELODGE DR
EL CAJON CA
92020-4126
US

IV. Provider business mailing address

250 TRAVELODGE DR
EL CAJON CA
92020-4126
US

V. Phone/Fax

Practice location:
  • Phone: 858-266-5000
  • Fax:
Mailing address:
  • Phone: 833-574-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301110629
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA170766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: