Healthcare Provider Details

I. General information

NPI: 1730097502
Provider Name (Legal Business Name): ABDUALLAH BITAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10214 INDEPENDENCE AVE UNIT 5
CHATSWORTH CA
91311-3097
US

IV. Provider business mailing address

10214 INDEPENDENCE AVE UNIT 5
CHATSWORTH CA
91311-3097
US

V. Phone/Fax

Practice location:
  • Phone: 747-206-3879
  • Fax:
Mailing address:
  • Phone: 747-206-3879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: