Provider Demographics
NPI:1598131799
Name:DANDAN, OSMAN NABIH (PA)
Entity Type:Individual
Prefix:
First Name:OSMAN
Middle Name:NABIH
Last Name:DANDAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5979 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-3510
Mailing Address - Country:US
Mailing Address - Phone:562-423-0421
Mailing Address - Fax:562-423-1032
Practice Address - Street 1:661 W 1ST ST STE G
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2939
Practice Address - Country:US
Practice Address - Phone:714-665-9890
Practice Address - Fax:714-665-9891
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2023-01-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical