Individual provider · NPI-1

Alexa Christine Abdallah, MD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number1881397123
StatusActive
Last updated in NPPESJun 19, 2024

Details

NPI
1881397123
Entity type
Individual (NPI-1)
Name
Alexa Christine Abdallah
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 24, 2023
Certification date
Jun 19, 2024
Last updated
Jun 19, 2024

Taxonomy and licenses

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

Practice location

200 W Arbor Dr # 8770
San Diego, CA 92103-1911

Phone 619-543-5297

Mailing address

200 W Arbor Dr # 8770
San Diego, CA 92103-1911

Phone 619-543-5297

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