Organization
ADEL F. JABOUR, M.D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL FAHIM JABOUR M.D. (PRESIDENT)
(818) 885-7905
Entity
Organization
Contact information
Practice address
18350 ROSCOE BLVD STE 200, NORTHRIDGE, CA 91325-4147
(818) 885-7905
(818) 885-1631
Mailing address
18350 ROSCOE BLVD STE 200, NORTHRIDGE, CA 91325-4147
(818) 885-7905
(818) 885-1631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A30429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A304290
—
CA
01
—
1154380301
INDIVIDUAL NPI NUMBER
CA
01
—
A30429
MEDICAL LICENSE
CA
Enumeration date
02/20/2007
Last updated
07/29/2011
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