Adel Sandouk
Pulmonary Disease
210 S Grand Ave Ste 307
Glendora
, California 91741-4278
Adel Sandouk
Pulmonary Disease
210 S Grand Ave Ste 307
Glendora
, California 91741-4278
(626) 914-2900
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Adel Sandouk
- Po Box 122
- Glendora, CA
- Zip : 91740-0122
- Phone : (626) 914-2900
Second Address
- Adel Sandouk
- 210 S Grand Ave Ste 307
- Glendora, CA
- Zip : 91741-4278
- Phone : (626) 914-2900
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | A86608 | CA |
National Provider Identifier
| NPI | 1043315575 |
|---|---|
| Provider Name | Adel Sandouk |
| First Address | Glendora, CA 91740-0122 |
| Second Address | Glendora, CA 91741-4278 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 12/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G31609 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.