Healthcare Provider Details

I. General information

NPI: 1871414623
Provider Name (Legal Business Name): KADRY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 S V AVE
NATIONAL CITY CA
91950-2828
US

IV. Provider business mailing address

5580 LA JOLLA BLVD STE 622
LA JOLLA CA
92037-7651
US

V. Phone/Fax

Practice location:
  • Phone: 858-260-2266
  • Fax: 858-926-7715
Mailing address:
  • Phone: 858-260-2266
  • Fax: 858-926-7715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED KADRY-HASSANEIN
Title or Position: OWNER
Credential: MD
Phone: 858-260-2266