Healthcare Provider Details

I. General information

NPI: 1417533654
Provider Name (Legal Business Name): INTELLICHOICE MEDICAL, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3830 VALLEY CENTRE DR STE 705-832
SAN DIEGO CA
92130-3320
US

IV. Provider business mailing address

3830 VALLEY CENTRE DR STE 705-832
SAN DIEGO CA
92130-3320
US

V. Phone/Fax

Practice location:
  • Phone: 442-655-7371
  • Fax: 858-400-4332
Mailing address:
  • Phone: 442-655-7371
  • Fax: 858-400-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUHAIL JAFREY
Title or Position: PRESIDENT
Credential: MD
Phone: 442-222-1514