NPI 1730076332 · live from the CMS NPI Registry
Hasan Abboud
Dentist, General Practice in Lancaster, CA. National Provider Identifier 1730076332, active.
NPI record
| NPI | 1730076332 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2004 W Avenue J, Lancaster, CA 93536 |
| Practice phone | 661-441-7011 |
| Mailing address | 13153 La Tierra Way, Sylmar, CA 91342 |
| Enumerated | June 18, 2025 |
| Last updated | June 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 111649 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.