| Dr. Hani Chaabo | |
|
1409 N Norma St Ridgecrest CA 93555-2510 | |
| (415) 375-0892 | |
| (866) 305-3569 |
| Full Name | Dr. Hani Chaabo |
|---|---|
| Speciality | Family Medicine |
| Location | 1409 N Norma St, Ridgecrest, California |
| Authorized Official Name and Position | Hani Adel Chaabo (CEO/PHYSICIAN) |
| Authorized Official Contact | 3045505698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Hani Chaabo 2021 Fillmore St # 2142 San Francisco CA 94115-2708 | Dr. Hani Chaabo 1409 N Norma St Ridgecrest CA 93555-2510 Ph: (415) 375-0892 |
| NPI Number | 1609689611 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 09/11/2026 |
| Certification Date | 09/11/2026 |
| Medicare PECOS PAC ID | 3870070469 |
|---|---|
| Medicare Enrollment ID | O20260126001636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609689611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (NU) | Secondary |
| 202D00000X | Integrative Medicine | (NU) | Secondary |
| Provider Name | Hani Chaabo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043661457 PECOS PAC ID: 0941595532 Enrollment ID: I20191114000954 |
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