Individual
SAMI KABBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8577 HAVEN AVE STE 208, RANCHO CUCAMONGA, CA 91730-4850
(909) 944-5353
Mailing address
PO BOX 845347, DALLAS, TX 75284-7528
(504) 988-2261
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
313262
LA
207W00000X
Ophthalmology Physician
Primary
A195896
CA
207W00000X
Ophthalmology Physician
T5936
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
A195896
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/23/2024
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