Provider Demographics
NPI:1225579360
Name:ALOKAILI, MUSTAFA MAJEED
Entity Type:Individual
Prefix:
First Name:MUSTAFA
Middle Name:MAJEED
Last Name:ALOKAILI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 E BRADLEY AVE
Mailing Address - Street 2:#124
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-2927
Mailing Address - Country:US
Mailing Address - Phone:619-201-0686
Mailing Address - Fax:
Practice Address - Street 1:325 E BRADLEY AVE
Practice Address - Street 2:#124
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-2927
Practice Address - Country:US
Practice Address - Phone:619-201-0686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA017-005084171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider