Individual provider · NPI-1

Aishah Abdala

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

NPI number1760050694
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1760050694
Entity type
Individual (NPI-1)
Name
Aishah Abdala
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2021
Certification date
Jun 16, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

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

Other names

  • Aishah Abdala Lopez (Other Name)

Practice location

470 E 3rd St Ste C
Los Angeles, CA 90013-1630

Phone 213-220-5712

Mailing address

470 E 3rd St Ste C
Los Angeles, CA 90013-1630

Phone 213-220-5712

Other practice locations

1840 W 24th St
Los Angeles, CA 90018-2113

Phone 213-223-5922

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