Provider Demographics
NPI:1548018476
Name:MEKHAIL, ABANOUB (DC)
Entity type:Individual
Prefix:DR
First Name:ABANOUB
Middle Name:
Last Name:MEKHAIL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15850 LANDMARK DR APT 11
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-3888
Mailing Address - Country:US
Mailing Address - Phone:702-335-2599
Mailing Address - Fax:
Practice Address - Street 1:417 W LA HABRA BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5407
Practice Address - Country:US
Practice Address - Phone:562-691-2224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor