Provider Demographics
NPI:1891066460
Name:ABASSO, SARMAD (RPH)
Entity Type:Individual
Prefix:
First Name:SARMAD
Middle Name:
Last Name:ABASSO
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 1:1388 BUCKMAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CAMPO
Mailing Address - State:CA
Mailing Address - Zip Code:91906-2028
Mailing Address - Country:US
Mailing Address - Phone:619-662-4100
Mailing Address - Fax:619-785-3409
Practice Address - Street 1:885 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-3862
Practice Address - Country:US
Practice Address - Phone:619-267-1950
Practice Address - Fax:619-267-2767
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58138183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist