MEDICARE: SULTAN AHMED ABDULSATTAR AL AZZAWI

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1982552113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SULTAN AHMED ABDULSATTAR AL AZZAWI

Provider Business Mailing Address
First Line	:	1494 GUSTAVO ST UNIT F
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-3253
Country	:	US
Telephone Number	:	619-383-5954
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W ARBOR DR # MC8425
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1911
Country	:	US
Telephone Number	:	619-543-6268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1639027840 — MS. CLARA CABOT MD
Practice Location Address:

200 W ARBOR DR # MC8425
SAN DIEGO, CA
92103-1911

Practice Phone: 619-543-6268
Practice Fax:

1649128869 — PETER VIEN
Practice Location Address:

200 W ARBOR DR # MC8425
SAN DIEGO, CA
92103-1911

Practice Phone: 619-543-6268
Practice Fax:

1518665918 — LORRAINE VITEK
Practice Location Address:

200 W ARBOR DR # MC8425
SAN DIEGO, CA
92103-1911

Practice Phone: 619-543-6268
Practice Fax:

1639017874 — DONYA MAZDEYASNAN
Practice Location Address:

200 W ARBOR DR # MC8425
SAN DIEGO, CA
92103-1911

Practice Phone: 619-543-6268
Practice Fax:

1174082234 — JENNIFER DORAN MD
Practice Location Address:

200 W ARBOR DR # 8829
SAN DIEGO, CA
92103-1911

Practice Phone: 619-543-8254
Practice Fax: 619-543-2990

Directions to “ SULTAN AHMED ABDULSATTAR AL AZZAWI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.