Dr. Agustin M Abdallah, MD
Internal Medicine in Los Angeles, California
1134524184- Practice location
- 245 S Fetterly Ave, Los Angeles, CA 90022-1605
- Phone
- 323-362-1010
- Fax
- —
- Last updated
- November 23, 2020
Dr. Agustin M Abdallah, MD is a Internal Medicine based in Los Angeles, CA. Dr. Agustin M Abdallah, MD holds the professional credentials of MD. The NPI number for Dr. Agustin M Abdallah, MD is 1134524184 and holds license No. 141310 (CA). The current practice location address is 245 S Fetterly Ave, Los Angeles, CA 90022-1605 and the office can be reached by phone at 323-362-1010. The NPI was assigned on November 1, 2014 and the record was last updated in NPPES on November 23, 2020.
●Provider Profile Details
- NPI Number
- 1134524184
- Provider Name
- Agustin Maria Abdallah
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Enumeration Date
- November 1, 2014
- Last Update Date
- November 23, 2020
- Certification Date
- November 23, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 245 S Fetterly Ave
Los Angeles, CA 90022-1605 - City
- Los Angeles
- State
- California
- ZIP
- 90022-1605
- Country
- US
- Phone Number
- 323-362-1010
✉Business Mailing Address
- Address
- 1200 N State St
Ct-A7d
Los Angeles, CA 90033-1029 - City
- Los Angeles
- State
- CA
- ZIP
- 90033-1029
- Phone Number
- 323-226-7556
- Fax Number
- 323-226-2657
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Pediatrics | 208000000X | No | 141310 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | — | — |
| Internal Medicine | 207R00000X | Yes | 141310 | CA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Los Angeles →?Frequently Asked Questions
What is the NPI number of Dr. Agustin M Abdallah, MD?
The NPI number of Dr. Agustin M Abdallah, MD is 1134524184. It was assigned on November 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Agustin M Abdallah, MD?
Dr. Agustin M Abdallah, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X) and holds license No. 141310 (CA).
Where does Dr. Agustin M Abdallah, MD practice?
The practice location is 245 S Fetterly Ave, Los Angeles, CA 90022-1605. The office can be reached at 323-362-1010 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134524184 directly on the NPPES registry website at npiregistry.cms.hhs.gov.