Provider Demographics
NPI:1730761974
Name:AL-ASHI, KHALID ALI (DC)
Entity type:Individual
Prefix:DR
First Name:KHALID
Middle Name:ALI
Last Name:AL-ASHI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 SAN MARINO DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4724
Mailing Address - Country:US
Mailing Address - Phone:858-380-9360
Mailing Address - Fax:
Practice Address - Street 1:555 S RANCHO SANTA FE RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-3698
Practice Address - Country:US
Practice Address - Phone:760-736-0286
Practice Address - Fax:760-736-0286
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty