Healthcare Provider Details

I. General information

NPI: 1437915162
Provider Name (Legal Business Name): SAFIYA KABIRI-GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9444 BALBOA AVE
SAN DIEGO CA
92123-4447
US

IV. Provider business mailing address

258 TIERRA BLANCA AVE
OCEANSIDE CA
92058-6899
US

V. Phone/Fax

Practice location:
  • Phone: 858-694-3900
  • Fax:
Mailing address:
  • Phone: 858-837-9169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95307723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: