Healthcare Provider Details

I. General information

NPI: 1144917329
Provider Name (Legal Business Name): ROKIA ADEL SAKR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date: 11/22/2023
Reactivation Date: 07/01/2026

III. Provider practice location address

9300 CAMPUS POINT DR MC 7723
LA JOLLA CA
92037
US

IV. Provider business mailing address

9300 CAMPUS POINT DRIVE MC 7723
LA JOLLA CA
92037
US

V. Phone/Fax

Practice location:
  • Phone: 858-249-1096
  • Fax: 619-543-3730
Mailing address:
  • Phone: 858-933-5982
  • Fax: 619-543-3730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: