Active NPIIndividual providerSole proprietor

Abdul-Shaheed K Abdullah, LAC

Acupuncturist in San Diego, California

NPI Number1790013514
Practice location
4683 Mercury St, Ste C, San Diego, CA 92111-2423
Fax
—
Last updated
December 7, 2009

Abdul-Shaheed K Abdullah, LAC is a Acupuncturist based in San Diego, CA. Abdul-Shaheed K Abdullah, LAC holds the professional credentials of LAC. The NPI number for Abdul-Shaheed K Abdullah, LAC is 1790013514 and holds license No. 8822 (CA). The current practice location address is 4683 Mercury St, Ste C, San Diego, CA 92111-2423 and the office can be reached by phone at 858-467-9893. The NPI was assigned on December 7, 2009 and the record was last updated in NPPES on December 7, 2009.

●Provider Profile Details

NPI Number
1790013514
Provider Name
Abdul-Shaheed Khalil-Ullah Abdullah
Credential
LAC
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Enumeration Date
December 7, 2009
Last Update Date
December 7, 2009
NPI Status
Active

◉Business Practice Location Address

Address
4683 Mercury St
Ste C
San Diego, CA 92111-2423
ZIP
92111-2423
Country
US
Phone Number
858-467-9893

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✉Business Mailing Address

Address
2307 Fenton Pkwy
Ste. 107-3
San Diego, CA 92108-4746
City
San Diego
State
CA
ZIP
92108-4746
Phone Number
310-993-6903

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Acupuncturist171100000XYes8822CA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Abdul-Shaheed K Abdullah, LAC?

The NPI number of Abdul-Shaheed K Abdullah, LAC is 1790013514. It was assigned on December 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Abdul-Shaheed K Abdullah, LAC?

Abdul-Shaheed K Abdullah, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X) and holds license No. 8822 (CA).

Where does Abdul-Shaheed K Abdullah, LAC practice?

The practice location is 4683 Mercury St, Ste C, San Diego, CA 92111-2423. The office can be reached at 858-467-9893 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790013514 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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