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1275147068 NPI number — HUSSEIN ABIDALI, D.O. DIGESTIVE HEALTH INC.

NPI Number: 1275147068
Health Care Provider/Practitioner: HUSSEIN ABIDALI, D.O. DIGESTIVE HEALTH INC.

Information about “1275147068” NPI (HUSSEIN ABIDALI, D.O. DIGESTIVE HEALTH INC.) exists in 1275147068 in HTML format HTML  |  1275147068 in plain Text format TXT  |  1275147068 in PDF (Portable Document Format) PDF  |  1275147068 in an XML format XML  formats.

NPI Number : 1275147068 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275147068",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HUSSEIN ABIDALI, D.O. DIGESTIVE HEALTH INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7974 HAVEN AVE STE 210",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RANCHO CUCAMONGA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91730-3052",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-941-0661",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7974 HAVEN AVE STE 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANCHO CUCAMONGA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91730-3052",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-301-0550",
    "PracticeLocationAddressFaxNumber": "909-301-0626",
    "EnumerationDate": "08/31/2020",
    "LastUpdateDate": "02/23/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ABIDALI",
    "AuthorizedOfficialFirstName": "HUSSEIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "GASTROENTEROLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.O.",
    "AuthorizedOfficialTelephoneNumber": "480-251-5887",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QE0800X",
          "TaxonomyName": "Endoscopy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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