Individual provider · NPI-1

Justin Abbasi

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

NPI number1225893506
StatusActive
Last updated in NPPESFeb 16, 2024

Details

NPI
1225893506
Entity type
Individual (NPI-1)
Name
Justin Abbasi
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 16, 2024
Certification date
Feb 16, 2024
Last updated
Feb 16, 2024

Taxonomy and licenses

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

Practice location

885 Tiverton Drive
Los Angeles, CA 90095-0001

Phone 310-825-6373

Mailing address

885 Tiverton Drive
Los Angeles, CA 90095-0001

Phone 310-825-6373

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