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General NPI Number Information
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NPI Number | 1184565814
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE AND PEDIATRICS OF SAN DIEGO
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 8745 AERO DR STE 106
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City | SAN DIEGO
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State | CA
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Zip | 92123-1763
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Country | US
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Telephone | 858-204-2152
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Fax | 844-749-3849
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Provider Business Mailing Address
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Address Line | 8745 AERO DR STE 106
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City | SAN DIEGO
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State | CA
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Zip | 92123-1763
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Country | US
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Telephone | 858-204-2152
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Fax | 844-749-3849
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARIM MANSOUR
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Credential | MD
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Telephone | 858-204-2152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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