HUSAM I BADAWIYA, Private Vehicle RIVERSIDE, CA

Contact Information

HUSAM I BADAWIYA

17227 GROVE DR
RIVERSIDE, CA 92503-6749

Phone: 951-353-0698
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for HUSAM I BADAWIYA · (Male)

NPI Number	`1780003012`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/15/2014
Last updated	04/15/2014 - About 12 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # 6PDZ412 CA License # 6SJH640
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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