Abdelaal, Taha
Abdelaal, Taha is an sole proprietor health care provider with primary practice located at 8599 Haven Ave Ste 103 , Rancho Cucamonga CA 91730-4849. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Abdelaal, Taha can be contacted via phone (909) 941-9955.Contact Information
Primary practice address
8599 Haven Ave Ste 103
Rancho Cucamonga CA 91730-4849
Phone: (909) 941-9955
Fax: (909) 941-9966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | A92596 | California |
Profile Details
| NPI number | 1578638649 |
|---|---|
| LBN Legal business name | Abdelaal, Taha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Nov 5th, 2013 - about 12 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 | 1578638649 | NPPES |
| California | Other | A92596 | CA PHYSICIAN LICENSE |
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