Healthcare Provider Details

I. General information

NPI: 1932828589
Provider Name (Legal Business Name): ALWAHAB MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3835 AVOCADO BLVD STE 150
LA MESA CA
91941-8524
US

IV. Provider business mailing address

250 E CHASE AVE STE 110
EL CAJON CA
92020-6305
US

V. Phone/Fax

Practice location:
  • Phone: 619-499-5006
  • Fax:
Mailing address:
  • Phone: 619-499-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: AREEJ ALWAHAB
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 858-717-1757