| Doctor Name: | NURAH ABDALLA |
| NPI Number: | 1811260573 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 00023058 |
| Business Practice Address: | 14456 Saline Dr Corona, CA - 928803770 |
| Business Phone Number: | 7143882677 |
| Business Fax Number: | 7146830925 |
| Mailing Address: | 1042 N Mountain Ave, Ste B #399 UPLAND |
| State: | CA |
| Postal Code: | 917863695 |
| Phone Number: | 7143882677 |
| Fax Number: | 7146830925 |
| NPI Enumeration Date: | 02/10/2012 |
| NPI Last Update Date: | 02/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | 00023058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |