Individual provider · NPI-1
Samuel Franca Abdalla, CHW
Community Health Worker · Loma Linda, CA
NPI number1184569204
StatusActive
Last updated in NPPESApr 23, 2026
Details
- NPI
- 1184569204
- Entity type
- Individual (NPI-1)
- Name
- Samuel Franca Abdalla
- Credential
- CHW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2026
- Certification date
- Apr 23, 2026
- Last updated
- Apr 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
11188 Anderson StLoma Linda, CA 92354-2833
Phone 909-558-7794 · Fax 909-558-0889
Mailing address
11188 Anderson StLoma Linda, CA 92354-2833
Phone 909-558-7794 · Fax 909-558-0889
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