Individual provider · Type 1 NPI

Lydia Tarek Ghabour, PA

Medical Physician Assistant · Loma Linda, CA

NPI number 1780329938 Active

Practice location

25455 Barton Rd Ste 204B
Loma Linda, CA 92354-3130

Mailing address

File # 54701
Los Angeles, CA 90074-4701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA62139 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1780329938

Lydia Tarek Ghabour, PA's National Provider Identifier is 1780329938, issued on May 2, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Loma Linda, CA. The record was last updated on Mar 23, 2024.