Awadalla, Joseph

Awadalla, Joseph is an individual health care provider with primary practice located at 4445 Magnolia Ave , Riverside CA 92501-4135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Awadalla, Joseph can be contacted via phone (909) 335-6443.

Contact Information

Primary practice address
4445 Magnolia Ave Riverside CA 92501-4135
Fax: (909) 335-5689
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A047833 California

Profile Details

NPI number 1184827297
LBN Legal business name Awadalla, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 9th, 2007 - about 17 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 1184827297 NPPES
California MEDICAID 00G458000

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