Individual
ABBBAS DAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3750 E FOUNTAIN ST, SUITE 105, LONG BEACH, CA 90804-2958
(714) 588-8819
Mailing address
3750 E FOUNTAIN ST, SUITE 105, LONG BEACH, CA 90804-2958
(714) 588-8819
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D6614674
CA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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