| Organization Name: | MOHAMED EL-GABALAWY, MD INC |
| NPI Number: | 1245410950 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMED EL-GABALAWY (PRESIDENT) |
| Mailing Address: | 1111 S Arroyo Pkwy Suite 405 Pasadena |
| State: | CA US |
| Postal Code: | 911053254 |
| Phone Number: | 6267995520 |
| Fax Number: | 6267995570 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 11/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | C50305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |