Provider Demographics
NPI:1760626477
Name:HASSAN KAFRI MD, INC.
Entity Type:Organization
Organization Name:HASSAN KAFRI MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-964-0303
Mailing Address - Street 1:7514 GIRARD AVE
Mailing Address - Street 2:SUITE 1444
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5149
Mailing Address - Country:US
Mailing Address - Phone:619-964-0303
Mailing Address - Fax:619-330-4606
Practice Address - Street 1:8860 CENTER DR
Practice Address - Street 2:SUITE 320
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3068
Practice Address - Country:US
Practice Address - Phone:619-934-3260
Practice Address - Fax:619-337-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96002207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACD591AMedicare PIN