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NPI Code Detail

MEDICARE: HADIA ASHRAF, INC.

MEDICARE: HADIA ASHRAF, INC.
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
1332900000XNon-Pharmacy Dispensing SiteA62197CA

General Provider Information

NPI Number : 1154572907
Entity Type Code : Organization
Provider Name (Legal Business Name) : HADIA ASHRAF, INC.
Provider Business Mailing Address
First Line : 5626 OBERLIN DR
Second Line : SUITE 110
City : SAN DIEGO
State : CA
Zip : 92121-1705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 903 E DEVONSHIRE AVE
Second Line : SUITE F
City : HEMET
State : CA
Zip : 92543-3097
Country : US
Telephone Number : 951-929-1611
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : KENNY HEINE
Credential :
Telephone Number : 858-625-2990
Provider Enumeration Date : 10/09/2008
Last Update Date : 10/23/2012

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Directions to “HADIA ASHRAF, INC. ” Practice Location

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