MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION – NPI #1588127757
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION is a provider located in GLENDORA, CA. NPPES has assigned the NPI number 1588127757 to MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION on April 12, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was last updated on Jan 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION

NPI Number
1588127757
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUSTAPHA ABIDALI DO PROFESSIONAL MEDICAL CORPORATION
Primary location
353 W FOOTHILL BLVD
GLENDORA, CA 91741-5309
Phone: (269) 145-2196 Fax:
Mailing address
12223 HIGHLAND AVE STE 106-526
RANCHO CUCAMONGA, CA 91739-2574
Phone: Fax:
Organization Subpart
No
Authorized Official
MOUSTAPHA ABIDALI
CEO
Phone: (480) 251-4030
Updated
Certification Date
Jan 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
207RP1001X
- Internal Medicine / Pulmonary Disease

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.