Individual provider · NPI-1

Isra Abugroun

Pediatrics, Pediatric Endocrinology · Madera, CA

NPI number1437576436
StatusActive
Last updated in NPPESJul 1, 2020

Details

NPI
1437576436
Entity type
Individual (NPI-1)
Name
Isra Abugroun
Sex
Female
Sole proprietor
No
Enumeration date
Mar 27, 2014
Certification date
Jul 1, 2020
Last updated
Jul 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0205X Pediatrics, Pediatric EndocrinologyA167777CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

9300 Valley Childrens Pl
Madera, CA 93636-8761

Phone 973-926-7471

Mailing address

9300 Valley Childrens Pl
Madera, CA 93636-8761

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics, Pediatric Endocrinology providers in Madera, CA