Organization Active NPI

Dalia Ibrahim-Abdelaziz MD

  • Gastroenterology Physician
  • Laguna Hills, CA
National Provider Identifier
1063966299
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A131849 Issued in CA
Legal business name
DALIA IBRAHIM-ABDELAZIZ MD
Practice address
24411 Health Center Dr Ste 430
Laguna Hills, CA 92653-3633
Phone
(949) 452-3933
Fax
(949) 458-1291
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dalia Ibrahim-Abdelaziz, M.D.
Title
Physician/Ceo
Phone
(310) 721-7217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A131849 CA Primary

Addresses

Primary practice location

24411 Health Center Dr Ste 430
Laguna Hills, CA 92653-3633

Mailing address

14252 Culver Dr
#A338
Irvine, CA 92604-0317
Phone (310) 721-7217

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1063966299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14252 CULVER DR",
            "address_2": "#A338",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040317",
            "telephone_number": "310-721-7217",
            "fax_number": "949-458-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR STE 430",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533633",
            "telephone_number": "949-452-3933",
            "fax_number": "949-458-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALIA IBRAHIM-ABDELAZIZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM-ABDELAZIZ",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "310-721-7217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A131849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.