Dakissaga, Jalil

Dakissaga, Jalil is an sole proprietor health care provider with primary practice located at 3853 Rosecrans St , San Diego CA 92110-3115. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Dakissaga, Jalil can be contacted via phone (619) 692-8232.

Contact Information

Primary practice address
3853 Rosecrans St San Diego CA 92110-3115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95177720 California

Profile Details

NPI number 1639432768
LBN Legal business name Dakissaga, Jalil
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2012
Last updated Mar 14th, 2019 - about 6 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 1639432768 NPPES
California MEDICAID 1639432768

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