Individual
ABOLGHASEM ABDOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PEDIATRICS DEPT, SAN JOSE, CA 95128-2604
(408) 885-6616
Mailing address
751 S BASCOM AVE, PEDIATRICS, SAN JOSE, CA 95128-2604
(408) 885-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A49572
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A49572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A495720
—
CA
Enumeration date
02/06/2006
Last updated
09/11/2025
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