Provider Demographics
NPI:1124116793
Name:DAMLUJI, NAMIR FAISAL
Entity type:Individual
Prefix:DR
First Name:NAMIR
Middle Name:FAISAL
Last Name:DAMLUJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:NAMIR
Other - Middle Name:FAISAL
Other - Last Name:DAMLUJI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:326 ENCINITAS BLVD
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-8708
Mailing Address - Country:US
Mailing Address - Phone:760-944-0200
Mailing Address - Fax:
Practice Address - Street 1:326 ENCINITAS BLVD SUITE 150
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-8708
Practice Address - Country:US
Practice Address - Phone:760-944-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA365112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA36511OtherMEDICAL STATE LICENSE