IndividualActive
Fady Nasrallah, MD
NPI 1871753905 · Trauma Surgery Physician · La Jolla, CA
Provider details
- NPI number
- 1871753905
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 11176 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9888 Genesee Ave
Lj 601
La Jolla, CA 92037-1205
Phone: (858) 626-6353
Fax: (858) 626-6354
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 85466
San Diego, CA 92186-5466
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2013-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.