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Organization

MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION

Active
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Organization

MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOUSTAPHA ABIDALI DO (CEO)
(480) 251-4030
Entity
Organization

Contact information

Practice address
353 W FOOTHILL BLVD, GLENDORA, CA 91741-5309
(269) 145-2196
Mailing address
12223 HIGHLAND AVE STE 106-526, RANCHO CUCAMONGA, CA 91739-2574

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
207RP1001X
Pulmonary Disease Physician

Other

Enumeration date
04/12/2019
Last updated
01/12/2025
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