Individual provider · NPI-1

Dana Abdelgadir

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number1104600477
StatusActive
Last updated in NPPESAug 18, 2023

Details

NPI
1104600477
Entity type
Individual (NPI-1)
Name
Dana Abdelgadir
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 18, 2023
Certification date
Aug 18, 2023
Last updated
Aug 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

855 Tiverton Drive
Los Angeles, CA 90095-0001

Phone 310-825-6373

Mailing address

855 Tiverton Drive
Los Angeles, CA 90095-0001

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