Provider Demographics
NPI:1548742836
Name:ABADIER, SAMIA HAKIM (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SAMIA
Middle Name:HAKIM
Last Name:ABADIER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SAMIA
Other - Middle Name:HAKIM
Other - Last Name:TAWDROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:7643 CABRILLO WAY
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-0923
Mailing Address - Country:US
Mailing Address - Phone:098-232-5159
Mailing Address - Fax:909-823-2514
Practice Address - Street 1:16701 VALLEY BLVD STE E
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-6696
Practice Address - Country:US
Practice Address - Phone:909-823-2515
Practice Address - Fax:909-823-2514
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1447534573Medicaid
CA1801290440Medicaid