Healthcare Provider Details

I. General information

NPI: 1598748410
Provider Name (Legal Business Name): NAHEED H ALJILANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6250 CLAY ST
RIVERSIDE CA
92509-6005
US

IV. Provider business mailing address

6250 CLAY ST
RIVERSIDE CA
92509-6005
US

V. Phone/Fax

Practice location:
  • Phone: 951-360-5250
  • Fax: 951-360-6276
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA47859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: