Paul Abou MD a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56122 Issued in CA

Legal business name

PAUL ABOU MD A PROFESSIONAL CORPORATION

Practice address

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Phone

(619) 460-1441

Fax

(619) 722-7131

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Paul Y Abou, MDNPI 1033264882

Title

Ceo

Phone

(619) 460-1441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Y Abou, MD

  • Internal Medicine Physician
  • La Mesa, CA
  • NPI 1033264882
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1386880326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2656",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432656",
            "telephone_number": "619-460-4114",
            "fax_number": "619-722-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-460-1441",
            "fax_number": "619-722-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ABOU MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "ABOU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-460-1441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasneem Patel, DO
• Hugh D. Pates, PHD
• Amanda Patrick
• Kristin Leigh Patrick, PHARM.D.
• Alexis Patsias, M.D.
• Paul E. Dato M.D. Inc.
• Paul Fjeldsted DDS Inc
• Paul J Michels DDS PC
• Paul L Treger MD a Medical Corporation
• Ana Karen Pavia Gonzalez

• Internal Medicine Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Internal Medicine Physician in California

• 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.

Verify at the official NPI Registry.