Provider Demographics
NPI:1922071059
Name:ABDELMESSIH, NIVEEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:NIVEEN
Middle Name:K
Last Name:ABDELMESSIH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1808 VERDUGO BLVD
Mailing Address - Street 2:SUITE 316
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208
Mailing Address - Country:US
Mailing Address - Phone:818-790-3041
Mailing Address - Fax:818-790-3047
Practice Address - Street 1:1808 VERDUGO BLVD
Practice Address - Street 2:SUITE 316
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208
Practice Address - Country:US
Practice Address - Phone:818-790-3041
Practice Address - Fax:818-790-3047
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2009-09-10
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Provider Licenses
StateLicense IDTaxonomies
CAA88718207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI26984Medicare UPIN