Reginald G M Abraham in Fountain Valley - Specialist

Reginald G M Abraham - NPI 1720042864

Reginald G M Abraham is a Specialist in Fountain Valley, California. Reginald G M Abraham practices all healthcare services and medical treatments related to Specialist. The NPI Number for Reginald G M Abraham is 1720042864. The last update date is 2012-06-05.

Reginald G M Abraham's current location address is 11100 Warner Ave, Fountain Valley, California. You can contact this provider via phone number 7145495990 and fax number 7148450041. The mailing address for Reginald G M Abraham is 11100 Warner Ave, Fountain Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Reginald G M Abraham
Address 11100 Warner Ave, Fountain Valley, California
Phone Number 7145495990
Fax Number 7148450041
Sole Proprietor Y
Credentials M D

NPI Number Detail

NPI Number 1720042864
Provider Enumeration Date 2006-04-14
Last Updated Date 2012-06-05

Provider Mailing Address Detail

Address 11100 Warner Ave
City Fountain Valley
State California (CA)
Post Code 927087506
Phone Number 7145495990
Fax Number 7148450041

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A75917
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A75917 CA --

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FAQs about Reginald G M Abraham

What is the unique 10-digit identification code assigned to Reginald G M Abraham by the Centers for Medicare & Medicaid Services?

The Reginald G M Abraham has been issued the NPI (National Provider Identifier) 1720042864, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Reginald G M Abraham is located?

The Reginald G M Abraham is situated at the following address: 11100 Warner Ave, Fountain Valley, CA, 927087506.

What is Reginald G M Abraham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Reginald G M Abraham is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did the Reginald G M Abraham receive its 1720042864?

The Reginald G M Abraham was issued its 1720042864 on 2006-04-14, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Reginald G M Abraham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Reginald G M Abraham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-05.

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