Individual
DR. ADEL F. JABOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18350 ROSCOE BLVD, SUITE #200, NORTHRIDGE, CA 91325-4109
(818) 885-7905
(818) 885-1631
Mailing address
18350 ROSCOE BLVD, SUITE #200, NORTHRIDGE, CA 91325-4109
(818) 885-7905
(818) 885-1631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A30429
CA
2086S0129X
Vascular Surgery Physician
A30429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A304290
—
CA
Enumeration date
03/17/2006
Last updated
04/27/2018
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