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

Mohamed Amine Stambouli, CSA

Individual provider Orthopedic Assistant · NPI 1083376230

Mohamed Amine Stambouli, CSA is an Orthopedic Assistant in King George, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5771 Coakley Dr
King George, VA 22485-2457
Phone: (202) 749-1404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136000242 (VA)
Orthopedic Assistant Taxonomy 246ZX2200X

Record details

NPI number1083376230
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedOctober 5, 2021
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021