Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imhotep Mustaqeem

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104220912

Imhotep Mustaqeem is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

3336 Steel St
San Diego, CA 92113
Phone: (619) 822-7919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104220912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2014
Last updated in NPPESOctober 22, 2014

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