Abaza, Moutasem
Abaza, Moutasem is an individual health care provider with primary practice located at 1111 Grand Ave Ste K , Diamond Bar CA 91765-4172. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Abaza, Moutasem can be contacted via phone (098) 604-2549.Contact Information
Primary practice address
1111 Grand Ave Ste K
Diamond Bar CA 91765-4172
Phone: (098) 604-2549
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A86393 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A86393 | California |
Profile Details
| NPI number | 1831148501 |
|---|---|
| LBN Legal business name | Abaza, Moutasem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Sep 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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