DR. QUTAYBA ABDULLATIF


Address: 415 W Route 66 Ste 202, Glendora, CA 91740-4335
Phone: 6269634467

DR. QUTAYBA ABDULLATIF (NPI# 1134667751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134667751
Entity Type Individual
Full Name DR. QUTAYBA ABDULLATIF
Credential PH.D.
Practice Address 415 W Route 66 Ste 202
Glendora
CA 91740-4335
Practice Telephone 6269634467
Practice Fax Number 6269639543
Mailing Telephone 6269634467
Mailing Fax Number 6269639543
Enumeration Date 2017-02-02
Last Update Date 2018-11-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 28804 CA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PSY28804 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 5672641 05
MEDICARE CB281537 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
201 W 4th St Ste 200, Claremont, CA 917114707 6264601260
2705 S Diamond Bar Blvd Ste 238, Diamond Bar, CA 917653554 6269634467 6269639543
16 S Oakland Ave Ste 212, Pasadena, CA 911012041 6264601260

Office Location

Street Address 415 W ROUTE 66 STE 202
City GLENDORA
State CA
Zip Code 91740-4335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225040363 Bruce A Lyons Psychologist 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2006-08-13
1386250785 Ahinasi Nurse Practitioner Corporation Nurse Practitioner 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2020-09-21
1053935361 Brighter Mind Psychiatric Group Inc Psychiatry & Neurology 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2020-06-02
1689297798 Karun Gogna Md Inc Psychiatry & Neurology 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2020-05-22
1629616255 Lorena Fuentes Np, Psychiatric Nursing Corp Nurse Practitioner 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2019-12-13
1558905158 Sasinee J Bhosai Np Psychiatric Nursing Corp Nurse Practitioner 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2019-11-06
1316580665 Dominique Sanders Nursing Corporation Nurse Practitioner 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2019-10-18
1407402779 Carmen N Garabet Psyd A Psychological Corporation Psychologist 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2019-08-13
1316590391 Carmen Noemi Garabet Psychologist 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2019-07-19
1952964744 Jeromy Asido Np Psychiatric Nursing Services Inc Nurse Practitioner 415 W Route 66 Ste 202, Glendora, CA 91740-4335 2019-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215559638 Kenny Tokuji Michioka Nurse Practitioner 1208 S Barranca Ave Unit C, Glendora, CA 91740 2020-05-07
1629535380 Sudario Home Health Care, Inc. Home Health 620 W Riute 66 Suite 220a, Glendora, CA 91740 2019-02-28
1659872711 Matthew Christian Mendoza Counselor 1160 S Grand Avenue, Glendora, CA 91740 2018-02-23
1972029981 Keyauna C Thomas Case Manager/Care Coordinator 987 Shady Lane, Glendora, CA 91740 2017-08-21
1356891055 Stephanie L Contreras Counselor 2200 E Route 66 Ste 200, Glendora, CA 91740 2016-10-06
1912454547 Natalie Sayegh Dentist 102 W. Route 66, Suite G, Glendora, CA 91740 2016-09-01
1255715744 Daily Care,llc Non-emergency Medical Transport (VAN) 623 Lemar Park Drive, B, Glendora, CA 91740 2015-07-14
1245661776 Rjdj Hospice Care, Inc. Hospice Care, Community Based 631 E. Arrow Hwy Ste E, Glendora, CA 91740 2013-12-10
1285061168 Nam Dao Nurse Practitioner 1377 S. Grand Ave, Glendora, CA 91740 2013-10-09
1508292384 Keaunna Sonae Knox Speech-Language Pathologist 420 E. Baseline St Suite D & E, Glendora, CA 91740 2013-09-24
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609497130 Haya Alsarhn Psychologist 210 S Grand Ave Ste 320, Glendora, CA 91741-4286 2020-05-06
1023673126 Christopher Morrison Psychologist 1340 E Route 66 Ste 107, Glendora, CA 91740-3783 2019-05-03
1285898973 Caroline Marie Sauer Psychologist 510 S Grand Ave, Suite 200, Glendora, CA 91741-4207 2008-07-11
1306040167 Janine Drulay Psychologist 316 E Colorado Ave, Glendora, CA 91740-4414 2007-06-13
1295951044 Nazare Magaz Psychologist 804 Bradish Ave, Glendora, CA 91740-4666 2007-04-18
1134249915 James F. Skalicky Psychologist 2030 E Route 66, # 200, Glendora, CA 91740-4602 2007-03-29
1770669335 Julie Anne Verner Psychologist 150 E Meda Ave Ste 280, Glendora, CA 91741-2691 2006-10-27
1437170560 Angela Donahue Psychologist 150 E Meda Ave Ste 110, Glendora, CA 91741-2607 2006-07-22
1235162652 Vrabel Psychological Services Inc. Psychologist 112 W Bennett Ave, Suite -4, Glendora, CA 91741-2568 2006-07-09
1770541773 Frank L Tornatore Psychologist 510 S Grand Ave Ste 200, Glendora, CA 91741-4291 2006-05-02
Find all providers in GLENDORA

Competitor

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City GLENDORA
Zip Code 91740

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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