Healthcare Provider Details

I. General information

NPI: 1487746855
Provider Name (Legal Business Name): HUDA Y ALSHEIKH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8881 FLETCHER PKWY STE 200
LA MESA CA
91942-3135
US

IV. Provider business mailing address

8881 FLETCHER PKWY STE 200
LA MESA CA
91942-3135
US

V. Phone/Fax

Practice location:
  • Phone: 619-464-6434
  • Fax: 619-464-5109
Mailing address:
  • Phone: 619-464-6434
  • Fax: 619-464-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA60408
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC133872
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: