Provider Demographics
NPI:1730258401
Name:KAFRI, HASSAN (MD)
Entity type:Individual
Prefix:
First Name:HASSAN
Middle Name:
Last Name:KAFRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HASSAN
Other - Middle Name:
Other - Last Name:AL-KAFRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7514 GIRARD AVE
Mailing Address - Street 2:#1444
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5149
Mailing Address - Country:US
Mailing Address - Phone:619-964-0303
Mailing Address - Fax:619-330-4606
Practice Address - Street 1:8860 CENTER DR
Practice Address - Street 2:SUITE#320
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3068
Practice Address - Country:US
Practice Address - Phone:619-934-3260
Practice Address - Fax:619-337-0191
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96002207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA96002OtherCA LICENSE