Dr. Mazen Issam Abbas, D.O., M.P.H.
Pediatrics, Pediatric Gastroenterology in Madera, CA. Individual provider (NPI-1).
NPI number1790775278
StatusActive
Last updated in NPPESOct 9, 2020
Details
- NPI
- 1790775278
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mazen Issam Abbas
- Credential
- D.O., M.P.H.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2005
- Certification date
- Oct 9, 2020
- Last updated
- Oct 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | 20A14673 | CA | Yes |
| 208000000X | Pediatrics | 20A14673 | CA |
Practice location
9300 Valley Childrens Pl # Se09Madera, CA 93636-8761
Phone 559-353-5745 · Fax 559-353-6093
Mailing address
1015 Aoloa Pl Apt 259Kailua, HI 96734-5212
Phone 808-726-6653 · Fax 808-378-7075
Other practice locations
122 Oneawa St Ste 101
Kailua, HI 96734-2524
Kailua, HI 96734-2524
Phone 808-263-4263
30 Aulike St Ste 405
Kailua, HI 96734-2751
Kailua, HI 96734-2751
Phone 808-707-7574 · Fax 808-378-7075
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