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:
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Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134667751 NPPES
Other CB281537 MEDICARE
MEDICAID 5672641 MEDICARE

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