Provider Demographics
NPI:1922584135
Name:NHJS INC
Entity Type:Organization
Organization Name:NHJS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDALLAH
Authorized Official - Middle Name:NAZMI
Authorized Official - Last Name:ABU-SAMRAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-231-7173
Mailing Address - Street 1:7088 GASKIN PL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5622
Mailing Address - Country:US
Mailing Address - Phone:951-231-7173
Mailing Address - Fax:909-886-3069
Practice Address - Street 1:2299 N INDIAN CANYON DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-325-2937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA136229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty