Provider Demographics
NPI:1801000542
Name:LAMIA L. GABAL, MD, INC.
Entity Type:Organization
Organization Name:LAMIA L. GABAL, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GABAL SHEHAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:944-291-1824
Mailing Address - Street 1:720 N TUSTIN AVE # 140
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3606
Mailing Address - Country:US
Mailing Address - Phone:949-825-7650
Mailing Address - Fax:949-825-7648
Practice Address - Street 1:720 N TUSTIN AVE # 140
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3606
Practice Address - Country:US
Practice Address - Phone:949-825-7650
Practice Address - Fax:949-825-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA619242088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric UrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB267575OtherPTAN
CAW16983Medicare ID - Type UnspecifiedGROUP MEDICARE
CAY03101Medicare UPIN