Dana Abdelgadir

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI 1104600477 · NPPES record last updated Aug 18, 2023

Key facts

NPI
1104600477
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
855 Tiverton Drive
Los Angeles, CA 90095-0001
Phone
(310) 825-6373
NPI assigned
Aug 18, 2023
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

855 Tiverton Drive
Los Angeles, CA 90095-0001

Mailing address

855 Tiverton Drive
Los Angeles, CA 90095-0001

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.