DR. MARWA B ABULHASAN (NPI# 1932453198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932453198 |
| Entity Type | Individual |
| Full Name | DR. MARWA B ABULHASAN |
| Credential | DMD, MS, MMM |
| Practice Address |
925 W 34th St # 108 Los Angeles CA 90089-3075 |
| Mailing Address |
904 Silver Spur Rd # 607 Rolling Hills Estates CA 90274-3800 |
| Practice Telephone | 4126082381 |
| Mailing Telephone | 4126082381 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
D-4893-PE | ID | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
S4-111C | NV | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
56236 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4720 Blue Diamond Rd Ste 100, Las Vegas, NV 891397609 | 7025835342 |
| Street Address |
925 W 34TH ST # 108 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1891136768 | Mahdad Nassiri | Dentist | 11740 Wilshire Blvd, Apt A1008, Los Angeles, CA 90025-6536 | 2013-07-08 |
| 1821336116 | Soheil Levi | Dentist | 31 Oakmont Dr, Los Angeles, CA 90049-1901 | 2013-01-22 |
| 1669716437 | Flavia Pirih | Dentist | 100 Ucla Medical Plaza, Suite 320, Los Angeles, CA 90095 | 2012-11-19 |
| 1588925010 | One Dental Specialties | Dentist | 621 S Western Ave, Suite 116, Los Angeles, CA 90005-3039 | 2012-05-31 |
| 1144591462 | Jacob Elisha | Dentist | 11600 Wilshire Blvd Ste 504, Los Angeles, CA 90025-1788 | 2012-01-18 |
| 1912278417 | Chloe Lea Cohen | Dentist | 655 S Hope St, Suite #1402, Los Angeles, CA 90017-3237 | 2012-01-16 |
| 1568695922 | Aleksander Jovanovic | Dentist | 12217 W Pico Blvd, Los Angeles, CA 90064-1134 | 2009-09-01 |
| 1649427972 | Natasha Yashar | Dentist | 13529 Bayliss Rd, Los Angeles, CA 90049-1812 | 2008-08-18 |
| 1629234802 | Homan Hanasab D.d.s. Inc. | Dentist | 1580 Manning Ave Apt 302, Los Angeles, CA 90024-6086 | 2008-08-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
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| 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.