Al-Jasim, Mohammed M

Al-Jasim, Mohammed M is an sole proprietor health care provider with primary practice located at 1600 S Imperial Ave Suite #8, El Centro CA 92243-4242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Al-Jasim, Mohammed M can be contacted via phone (760) 336-3773.

Contact Information

Primary practice address
1600 S Imperial Ave Suite #8 El Centro CA 92243-4242
Phone: (760) 336-3773
Fax: (760) 370-3229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A82827 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A82827 California

Profile Details

NPI number 1760479786
LBN Legal business name Al-Jasim, Mohammed M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Nov 11th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760479786 NPPES
California MEDICAID 1760479786

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