Provider Demographics
NPI:1558147785
Name:ALNAJJAR, HISHAM (RVT, RDMS (AB))
Entity Type:Individual
Prefix:MR
First Name:HISHAM
Middle Name:
Last Name:ALNAJJAR
Suffix:
Gender:M
Credentials:RVT, RDMS (AB)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:862 LURA AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-5820
Mailing Address - Country:US
Mailing Address - Phone:619-977-0486
Mailing Address - Fax:
Practice Address - Street 1:862 LURA AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-5820
Practice Address - Country:US
Practice Address - Phone:619-977-0486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Multi-Specialty