Individual
SAM ABAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 GRAND AVE STE K, DIAMOND BAR, CA 91765-4172
(098) 604-2549
Mailing address
1111 GRAND AVE STE K, DIAMOND BAR, CA 91765-4172
(098) 604-2549
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A86393
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A86393
CA
Other
Enumeration date
05/09/2006
Last updated
11/17/2025
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