Individual provider · NPI-1

Adnan Abbuthalha

Family Medicine · La Habra, CA

NPI number1285215848
StatusActive
Last updated in NPPESAug 7, 2024

Details

NPI
1285215848
Entity type
Individual (NPI-1)
Name
Adnan Abbuthalha
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2021
Certification date
Aug 7, 2024
Last updated
Aug 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA183876CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

201 S Harbor Blvd
La Habra, CA 90631-5654

Phone 844-308-5003

Mailing address

201 S Harbor Blvd
La Habra, CA 90631-5654

Other practice locations

28062 Baxter Rd
Murrieta, CA 92563-1401

Phone 951-290-4168

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