Provider Demographics
NPI:1467204230
Name:NABET, AMIR (DACCHM)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:NABET
Suffix:
Gender:M
Credentials:DACCHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 AVENIDA SEVILLA APT C
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-0836
Mailing Address - Country:US
Mailing Address - Phone:949-449-4448
Mailing Address - Fax:
Practice Address - Street 1:2339 AVENIDA SEVILLA APT C
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-0836
Practice Address - Country:US
Practice Address - Phone:949-449-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20057171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist