Provider Demographics
NPI:1518236934
Name:ABDELMESSIH, MIKEL (RPH)
Entity Type:Individual
Prefix:DR
First Name:MIKEL
Middle Name:
Last Name:ABDELMESSIH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33702 HAYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5534
Mailing Address - Country:US
Mailing Address - Phone:909-753-7922
Mailing Address - Fax:
Practice Address - Street 1:33702 HAYWOOD CT
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5534
Practice Address - Country:US
Practice Address - Phone:909-753-7922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist