Provider Demographics
NPI:1871738138
Name:SABRY, HALA HAZEM (DO)
Entity type:Individual
Prefix:DR
First Name:HALA
Middle Name:HAZEM
Last Name:SABRY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12212 SCARLET WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2649
Mailing Address - Country:US
Mailing Address - Phone:909-803-0662
Mailing Address - Fax:
Practice Address - Street 1:12212 SCARLET WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-2649
Practice Address - Country:US
Practice Address - Phone:909-803-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP61069012207P00000X
CAA10644207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine