Individual provider · NPI-1
Sam Abaza, M.D.
Dermatology · Diamond Bar, CA
NPI number1831148501
StatusActive
Last updated in NPPESNov 17, 2025
Details
- NPI
- 1831148501
- Entity type
- Individual (NPI-1)
- Name
- Sam Abaza
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2006
- Certification date
- Nov 17, 2025
- Last updated
- Nov 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | A86393 | CA | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | A86393 | CA |
Other names
- Moutasem Abaza (Former Name)
Practice location
1111 Grand Ave Ste KDiamond Bar, CA 91765-4172
Phone 098-604-2549
Mailing address
1111 Grand Ave Ste KDiamond Bar, CA 91765-4172
Phone 098-604-2549
Other practice locations
631 W Avenue Q Ste B
Palmdale, CA 93551-3892
Palmdale, CA 93551-3892
Phone 661-947-9000 · Fax 661-266-8751
175 S Harbor Blvd
Anaheim, CA 92805-3710
Anaheim, CA 92805-3710
Phone 909-860-4254
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