MEDICARE: PASCAL DABEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	A131011	CA
2	207RN0300X	Nephrology Physician	35.098683	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033306592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PASCAL DABEL M.D.

Provider Business Mailing Address
First Line	:	11550 INDIAN HILLS RD STE 371
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-1252
Country	:	US
Telephone Number	:	818-365-1194
Fax Number	:	818-898-3835

Provider Business Practice Location Address
First Line	:	11550 INDIAN HILLS RD STE 371
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-1252
Country	:	US
Telephone Number	:	818-365-1194
Fax Number	:	818-898-3835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	06/26/2014

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