Organization
DR NABIL ABUDAYEH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY MARION (OFFICE MANAGER)
(650) 771-2814
Entity
Organization
Contact information
Practice address
20700 LAKE CHABOT RD, STE 107, CASTRO VALLEY, CA 94546-5401
(510) 728-7961
(510) 886-0268
Mailing address
20700 LAKE CHABOT RD, STE 107, CASTRO VALLEY, CA 94546-5401
(510) 728-7961
(510) 886-0268
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
G059072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G590720
ALAMEDA ALLIANCE
CA
Enumeration date
02/27/2017
Last updated
02/27/2017
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