HABIB MOUSSA BASHOURA MD INC NPI 1609952431

NPI Information

  • NPI: 1609952431
  • Provider Name: HABIB MOUSSA BASHOURA MD INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1234 FOOTHILL BLVD
    LA VERNE, CA
    ZIP 91750
  • Phone: (909) 596-4879

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NPI Details

HABIB MOUSSA BASHOURA MD INC is a family medicine in La Verne, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HABIB MOUSSA BASHOURA MD INC NPI is 1609952431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1234 FOOTHILL BLVD
LA VERNE, CA
ZIP 91750
Phone: (909) 596-4879
Fax: (909) 596-6612

The provider's authorized official is Habib Bashoura .
The authorized official title is Physician and has the following contact phone number (909) 596-4879.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 12/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F76494MEDICARE UPIN
2A52519MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300A525191MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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