Organization
FADDA MD INC A P C
Active
Organization
FADDA MD INC A P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLA FADDA (MD/CEO)
(520) 829-8451
Entity
Organization
Contact information
Practice address
415 W CARROLL AVE STE 100, GLENDORA, CA 91741-4208
(626) 914-5219
Mailing address
154 W FOOTHILL BLVD STE A#342, UPLAND, CA 91786
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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