Mohammad Abuzaineh MD Inc a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A37792 Issued in CA

Legal business name

MOHAMMAD ABUZAINEH MD INC A PROFESSIONAL CORPORATION

Practice address

18321 Clark Street
Tarzana, CA 91356-3501

Phone

(818) 708-5285

Fax

(818) 708-5491

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Mohammad Abuzaineh, MD

Title

Owner/Pres

Phone

(818) 708-5285

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1497778468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260620",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914360620",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK STREET",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUZAINEH MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "ABUZAINEH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "818-708-5285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A37792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A377921",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A377920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.