Individual
IMAN ABDEL BAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2077 HARBOR BLVD, UNIT A, COSTA MESA, CA 92627-2630
(949) 646-3623
Mailing address
2077 HARBOR BLVD, UNIT A, COSTA MESA, CA 92627-2630
(949) 646-3623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A72354
CA
208D00000X
General Practice Physician
A72354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A723540
—
CA
Enumeration date
11/03/2006
Last updated
01/13/2017
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