Individual provider · NPI-1

Nour Abdel-Azim, MD

Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI number1700671542
StatusActive
Last updated in NPPESApr 11, 2025

Details

NPI
1700671542
Entity type
Individual (NPI-1)
Name
Nour Abdel-Azim
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2025
Certification date
Mar 26, 2025
Last updated
Apr 11, 2025

Taxonomy and licenses

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

Practice location

11234 Anderson St
Loma Linda, CA 92350-1716

Phone 909-558-2600

Mailing address

11234 Anderson St Ofc Ua-202
Loma Linda, CA 92350-1716

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