Active NPI
Al-Abdulla DDS Inc
- Customized Equipment (DME)
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 41337
- Legal business name
- AL-ABDULLA DDS INC
- Practice address
- 24953 Paseo de Valencia
26B
Laguna Hills, CA 92653-4342 - Phone
- (949) 768-1671
- Fax
- (949) 768-1691
- NPI assigned
- Jun 25, 2010
- Last updated
- Jun 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angham Al-Abdulla, DDS
- Title
- Owner
- Phone
- (949) 768-1671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 41337 | CA | Primary |
Addresses
Primary practice location
24953 Paseo de Valencia
26B
Laguna Hills, CA 92653-4342
Mailing address
24953 Paseo de Valencia
26B
Laguna Hills, CA 92653-4342
Phone (949) 768-1671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930048478 | CA | DME Supplier - Oral Surgery - Dentist | 8729278734 |
1 other NPI on this enrollment Practice locations: Laguna Hills, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Dentistry
- Laguna Hills, CA
- NPI 1235460916
O20100930048478
National Provider Directory
National Provider DirectoryLocations
24953 Paseo de Valencia
Ste 26B
Laguna Hills, CA 92653
Phone (949) 768-1671
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Laguna Hills, CA
- NPI 1235460916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277424000000",
"number": "1326359209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA",
"address_2": "26B",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "949-768-1671",
"fax_number": "949-768-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA",
"address_2": "26B",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "949-768-1671",
"fax_number": "949-768-1691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AL-ABDULLA DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A",
"authorized_official_last_name": "AL-ABDULLA",
"authorized_official_first_name": "ANGHAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-768-1671",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "41337",
"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 Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.