Basic Information
| Provider Information | |||||||||
| NPI: | 1033306592 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DABEL | ||||||||
| FirstName: | PASCAL | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11550 INDIAN HILLS RD STE 371 | ||||||||
| Address2: | |||||||||
| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913451252 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183651194 | ||||||||
| FaxNumber: | 8188983835 | ||||||||
| Practice Location | |||||||||
| Address1: | 11550 INDIAN HILLS RD STE 371 | ||||||||
| Address2: | |||||||||
| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913451252 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183651194 | ||||||||
| FaxNumber: | 8188983835 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2007 | ||||||||
| LastUpdateDate: | 06/26/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | A131011 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | 35.098683 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 0066789 | 05 | OH | MEDICAID | 3810023552 | 05 | WV | MEDICAID |