Basic Information
Provider Information
NPI: 1619030194
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL-SAID
FirstName: HOWAIDA
MiddleName: GALAL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3860 CALLE FORTUNADA
Address2: SUITE 210
City: SAN DIEGO
State: CA
PostalCode: 921234800
CountryCode: US
TelephoneNumber: 8583096303
FaxNumber: 8583096301
Practice Location
Address1: 8001 FROST ST
Address2: ENTRANCE 9
City: SAN DIEGO
State: CA
PostalCode: 921232746
CountryCode: US
TelephoneNumber: 8589665855
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/18/2006
LastUpdateDate: 08/24/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0202XA93820CAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

ID Information
IDTypeStateIssuerDescription
00A93820005CA MEDICAID


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