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NPI Code Detail

MEDICARE: DR. GEORGIA ALJAWADI D.O.

MEDICARE: DR. GEORGIA ALJAWADI D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A11376CA

General Provider Information

NPI Number : 1013116714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGIA ALJAWADI D.O.
Provider Business Mailing Address
First Line : 11424 CAMINITO GARCIA
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-2133
Country : US
Telephone Number : 361-558-2471
Fax Number :
Provider Business Practice Location Address
First Line : 22 W 35TH ST STE 101
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7926
Country : US
Telephone Number : 619-427-3361
Fax Number : 619-427-6821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 05/17/2024

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