Organization
EMANA MEDICAL
Active
Organization
EMANA MEDICAL
Active
Other names
Emana Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMANA ADBALLAH DO (OWNER)
(310) 878-4321
Entity
Organization
Contact information
Practice address
435 N BEDFORD DR STE 305, BEVERLY HILLS, CA 90210-4348
(310) 878-4321
Mailing address
435 N BEDFORD DR STE 305, BEVERLY HILLS, CA 90210-4348
(310) 878-4321
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528321957
INDIVIDUAL NPI
CA
Enumeration date
11/15/2018
Last updated
07/24/2019
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