Healthcare Provider Details

I. General information

NPI: 1922986835
Provider Name (Legal Business Name): SADEER THABIT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 AMBER VALLEY DR
WHITTIER CA
90604-4051
US

IV. Provider business mailing address

7500 E DEER VALLEY RD UNIT 3
SCOTTSDALE AZ
85255-4815
US

V. Phone/Fax

Practice location:
  • Phone: 562-947-8755
  • Fax:
Mailing address:
  • Phone: 623-999-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: