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General NPI Number Information
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NPI Number | 1942257852
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Entity Type | Individual
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Provider Name | AHMED EL-GHONEIMY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 875 EL CAJON BLVD
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City | EL CAJON
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State | CA
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Zip | 92020-5714
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Country | US
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Telephone | 619-662-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 PRECISION PARK LN
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City | SAN DIEGO
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State | CA
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Zip | 92173-1345
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Country | US
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Telephone | 619-936-3823
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Fax | 415-464-8177
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A93235
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 00093235
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License Number State | CA
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