Individual
DR. MOUSTAPHA ABIDALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
353 W FOOTHILL BLVD, GLENDORA, CA 91741-5309
(626) 914-5219
Mailing address
12223 HIGHLAND AVE # 106-605, RANCHO CUCAMONGA, CA 91739-2574
(909) 204-4191
(909) 204-4989
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20A16993
CA
207RP1001X
Pulmonary Disease Physician
Primary
20A16993
CA
Other
Enumeration date
06/06/2013
Last updated
01/12/2025
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