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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