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NPI Verification

National Provider Identifier: 1134524184

Agustin Maria Abdallah, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Pediatrics

Code: 208000000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

245 S FETTERLY AVE

LOS ANGELES, CA 900221605

Phone: 323-362-1010

NPI Enumeration Date

November 1, 2014

NPI Number

1134524184

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry