Individual
TAHA ABDELAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8599 HAVEN AVE STE 103, RANCHO CUCAMONGA, CA 91730-4849
(909) 941-9955
(909) 941-9966
Mailing address
8599 HAVEN AVE STE 103, RANCHO CUCAMONGA, CA 91730-4849
(909) 941-9955
(909) 941-9966
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A92596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A92596
CA PHYSICIAN LICENSE
CA
Enumeration date
11/22/2006
Last updated
11/05/2013
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