Abdullatif, Qutayba
Abdullatif, Qutayba is an sole proprietor health care provider with primary practice located at 2500 E Foothill Blvd Ste 406 , Pasadena CA 91107-7122. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Abdullatif, Qutayba can be contacted via phone (626) 460-1260.Contact Information
Primary practice address
2500 E Foothill Blvd Ste 406
Pasadena CA 91107-7122
Phone: (626) 460-1260
Fax: (626) 628-3051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 28804 | California |
Profile Details
| NPI number | 1134667751 |
|---|---|
| LBN Legal business name | Abdullatif, Qutayba |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2017 |
| Last updated | Jan 4th, 2022 - about 3 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 | 1134667751 | NPPES |
| Other | CB281537 | MEDICARE | |
| MEDICAID | 5672641 | MEDICARE |
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