Provider Demographics
NPI:1376960013
Name:HUSSEIN, ABDIKARIM ADEN
Entity Type:Individual
Prefix:
First Name:ABDIKARIM
Middle Name:ADEN
Last Name:HUSSEIN
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 1:7484 UNIVERSITY AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-6065
Mailing Address - Country:US
Mailing Address - Phone:619-602-5915
Mailing Address - Fax:
Practice Address - Street 1:7484 UNIVERSITY AVE STE 330
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942
Practice Address - Country:US
Practice Address - Phone:619-303-5936
Practice Address - Fax:619-741-8801
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic