Provider Demographics
NPI:1568851087
Name:AYAR, AHU
Entity Type:Individual
Prefix:
First Name:AHU
Middle Name:
Last Name:AYAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 EL CAJON BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1111
Mailing Address - Country:US
Mailing Address - Phone:619-280-2300
Mailing Address - Fax:619-280-2345
Practice Address - Street 1:4001 EL CAJON BLVD STE 206
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1111
Practice Address - Country:US
Practice Address - Phone:619-280-2300
Practice Address - Fax:619-280-2345
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)