Healthcare Provider Details

I. General information

NPI: 1962017251
Provider Name (Legal Business Name): SAADIA M ALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2020
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 BROADWAY
SAN DIEGO CA
92101-5514
US

IV. Provider business mailing address

928 BROADWAY
SAN DIEGO CA
92101-5514
US

V. Phone/Fax

Practice location:
  • Phone: 619-977-3716
  • Fax: 619-481-3075
Mailing address:
  • Phone: 619-977-3716
  • Fax: 619-481-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: