Muhamad Awadallah
Individual provider Active NPI Driver · Hawthorne, CA
NPI 1043025018 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1043025018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 4747 W El Segundo Blvd
Hawthorne, CA 90250-4253 - Phone
- (310) 321-2195
- NPI assigned
- Feb 7, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
4747 W El Segundo Blvd
Hawthorne, CA 90250-4253
Mailing address
4747 W El Segundo Blvd
Hawthorne, CA 90250-4253
Phone (310) 321-2195
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.