Dina Nabil Riad Abdelmalek
Individual provider Active NPI Pharmacist · Northridge, CA
NPI 1083335640 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1083335640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 86153 (CA)
- Practice address
- 8808 Darby Ave Apt 217
Northridge, CA 91325-3068 - Phone
- (714) 394-1243
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86153 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86153 | CA | Yes |
Addresses
Primary practice location
8808 Darby Ave Apt 217
Northridge, CA 91325-3068
Mailing address
8808 Darby Ave Apt 217
Northridge, CA 91325-3068
Phone (714) 394-1243
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. 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.