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NPI Code Detail

MEDICARE: SONJAY MARYAM ABDALLAH-TRACEY

MEDICARE: SONJAY MARYAM ABDALLAH-TRACEY
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
1164X00000XLicensed Vocational Nurse753772CA

General Provider Information

NPI Number : 1154276459
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJAY MARYAM ABDALLAH-TRACEY
Provider Business Mailing Address
First Line : 9808 VENICE BLVD STE 700
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-6824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9808 VENICE BLVD STE 700
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-6824
Country : US
Telephone Number : 310-945-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ SONJAY MARYAM ABDALLAH-TRACEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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