WASEEM KHADER DO INC NPI 1821708850

NPI Information

  • NPI: 1821708850
  • Provider Name: WASEEM KHADER DO INC
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 11878 AVENUE OF INDUSTRY
    SAN DIEGO, CA
    ZIP 92128
  • Phone: (442) 286-7907

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NPI Details

WASEEM KHADER DO INC is an addiction medicine preventive medicine in San Diego, CA. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. WASEEM KHADER DO INC NPI is 1821708850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11878 AVENUE OF INDUSTRY
SAN DIEGO, CA
ZIP 92128-423
Phone: (442) 286-7907

The provider's authorized official is Waseem Khader .
The authorized official title is Owner and has the following contact phone number (442) 286-7907.

The enumeration date for this NPI number is 11/30/2022 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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