TARIQ ALI SUDRC I
NPI 1710810015
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
Active since June 05, 2026
About Tariq Ali Sudrc I NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARIQ ALI SUDRC I (NPI 1710810015) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (25003) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1710810015
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTARIQ ALICredential: SUDRC I
Location Address835 25TH STSan Diego, CA 92102-2738
Mailing Address835 25th StSan Diego, CA 92102-2738 · (619) 239-9691
Phone(619) 239-9691
Sole ProprietorNo
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1710810015 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
License✔ Licensed in CA · 25003
835 25TH ST, San Diego, CA 92102
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710810015, enumerated as an "individual" on June 05, 2026.
The provider is located at 835 25TH ST SAN DIEGO, CA 92102 and the phone number is (619) 239-9691.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
