Healthcare Provider Details

I. General information

NPI: 1366350845
Provider Name (Legal Business Name): SALMA MAHMOUD ALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 NARANCA AVE
EL CAJON CA
92021-5615
US

IV. Provider business mailing address

13523 ZINNIA HILLS PL APT 56
SAN DIEGO CA
92130-5763
US

V. Phone/Fax

Practice location:
  • Phone: 858-205-2832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14409245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: