Abdallah, Agustin Maria
Abdallah, Agustin Maria is an sole proprietor health care provider with primary practice located at 245 S Fetterly Ave , Los Angeles CA 90022-1605. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Abdallah, Agustin Maria can be contacted via phone (323) 362-1010.Contact Information
Primary practice address
245 S Fetterly Ave
Los Angeles CA 90022-1605
Phone: (323) 362-1010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 141310 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 141310 | California |
Profile Details
| NPI number | 1134524184 |
|---|---|
| LBN Legal business name | Abdallah, Agustin Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2014 |
| Last updated | Nov 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134524184 | NPPES |
| Other | AA3232267556 | AA3232267556 |
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