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IMHOTEP MUSTAQEEM
NPI 1104220912
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since October 22, 2014
3336 STEEL STREET, SAN DIEGO, CA 92113(619) 822-7919 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imhotep Mustaqeem NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMHOTEP MUSTAQEEM (NPI 1104220912) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1104220912
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameIMHOTEP MUSTAQEEM
Location Address3336 STEEL STREETSan Diego, CA 92113
Mailing Address3336 Steel StreetSan Diego, CA 92113 · (619) 822-7919
Phone(619) 822-7919
Sole ProprietorYes
Enumeration DateOctober 22, 2014
✔ NPI 1104220912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3336 STEEL STREET, San Diego, CA 92113
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imhotep Mustaqeem's NPI number?

The NPI number for Imhotep Mustaqeem is 1104220912. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Where is Imhotep Mustaqeem located?

Imhotep Mustaqeem practices at 3336 Steel Street, San Diego, CA 92113. The listed phone number is (619) 822-7919.

What is Imhotep Mustaqeem's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Imhotep Mustaqeem was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.