=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386538478
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAN DIEGO INTERNAL HOSPITALIST INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2025
-----------------------------------------------------
Last Update Date | 06/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3356 RANCHO DIEGO CIR
-----------------------------------------------------
City | EL CAJON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92019-5125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-438-4117
-----------------------------------------------------
Fax | 860-325-4894
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3356 RANCHO DIEGO CIR
-----------------------------------------------------
City | EL CAJON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92019-5125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-438-4117
-----------------------------------------------------
Fax | 860-325-4894
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SINAN KHAYYAT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 619-438-4117
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------