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Contact Information

SAM ABAZA, MD
1111 GRAND AVE STE K
DIAMOND BAR, CA91765-4172
 Phone: 098-604-2549
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SAM ABAZA · (Male)

NPI Number 1831148501
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2006
Last updated 11/17/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A86393
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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