Allab Medical Clinic

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

Legal business name

ALLAB MEDICAL CLINIC

Practice address

10470 Foothill Blvd
RCH Cucamonga, CA 91730-3754

Phone

(840) 256-7730

NPI assigned

Jul 19, 2024

Last updated

Jul 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alaa Abouefetouh

Title

Ceo

Phone

(840) 256-7730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1669210902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917303754",
            "telephone_number": "840-256-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917303754",
            "telephone_number": "840-256-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAB MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "ABOUEFETOUH",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "840-256-7730"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology (Internal Medicine) Physician in RCH Cucamonga, CA
• Providers in RCH Cucamonga, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.