Organization
HISHAM ABUKAMLEH MD. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HISHAM JIHAD ABUKAMLEH MD (DOCTOR)
(760) 515-4003
Entity
Organization
Contact information
Practice address
18144 US HIGHWAY 18 STE 140, APPLE VALLEY, CA 92307-2219
(760) 515-4003
(760) 515-4503
Mailing address
18182 US HIGHWAY 18 STE 107, APPLE VALLEY, CA 92307-2200
(760) 515-4003
(760) 515-4503
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144689647
—
CA
Enumeration date
11/12/2019
Last updated
07/10/2024
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