# SHADI ABDELNOUR M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518410539
- **Authorized official:** TRINETTE GOMEZ (ACCOUNT MANAGER)
- **Authorized official phone:** (909) 793-5511

## Contact information

- **Practice address:** 8882 EMPEROR AVE, SAN GABRIEL, CA 91775-1941
- **Practice address phone:** (212) 920-5120
- **Mailing address:** 8882 EMPEROR AVE, SAN GABRIEL, CA 91775-1941
- **Mailing address phone:** (212) 920-5120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A102551 | CA | Yes |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 07/26/2016