Basic Information
Provider Information
NPI: 1831438399
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL-AKABAWI
FirstName: AMY
MiddleName: FOUAD
NamePrefix:  
NameSuffix:  
Credential: WHNP/CNM
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 119 LOST HLS
Address2:  
City: IRVINE
State: CA
PostalCode: 926180823
CountryCode: US
TelephoneNumber: 3107017563
FaxNumber:  
Practice Location
Address1: 2040 CAMFIELD AVE
Address2:  
City: COMMERCE
State: CA
PostalCode: 900401502
CountryCode: US
TelephoneNumber: 3237258751
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/04/2013
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X2020CAN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
363LX0001X22649CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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