Individual
SHAMEL A ABD-ALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, STE B-100, LOMA LINDA, CA 92354-3450
(909) 558-2848
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G73462
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
G73462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G734620
—
CA
Enumeration date
07/25/2006
Last updated
09/29/2017
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