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NPI Code Detail

MEDICARE: ALA SHEHADEH

MEDICARE: ALA SHEHADEH
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
1104100000XSocial Worker
21041S0200XSchool Social Worker240113642CA

General Provider Information

NPI Number : 1154452134
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALA SHEHADEH
Provider Business Mailing Address
First Line : 4069 PULITZER PL APT 4
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-4217
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2310 ALDERGROVE AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92029-1935
Country : US
Telephone Number : 760-432-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 05/23/2025

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Directions to “ ALA SHEHADEH ” Practice Location

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