Boban Abraham Joseph in Pasadena - Retina Specialist
Boban Abraham Joseph - NPI 1639109101
Boban Abraham Joseph is a Retina Specialist in Pasadena, California. Boban Abraham Joseph practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Boban Abraham Joseph is 1639109101. The last update date is 2020-09-14.
Boban Abraham Joseph's current location address is 625 S Fair Oaks Ave Ste 280, Pasadena, California. You can contact this provider via phone number 6268174747. The mailing address for Boban Abraham Joseph is 625 S Fair Oaks Ave Ste 280, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Boban Abraham Joseph |
|---|---|
| Address | 625 S Fair Oaks Ave Ste 280, Pasadena, California |
| Phone Number | 6268174747 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639109101 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-09-14 |
Provider Mailing Address Detail
| Address | 625 S Fair Oaks Ave Ste 280 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 9110526700 |
| Phone Number | 6268174747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | A32523 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A32523A | CA | -- |
Post Comment/ Review Below
What is the Boban Abraham Joseph's unique identification number?
The Boban Abraham Joseph has been assigned the NPI (National Provider Identifier) Number 1639109101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Boban Abraham Joseph located?
The Boban Abraham Joseph is located at 625 S Fair Oaks Ave Ste 280, Pasadena, CA 9110526700.
What is Boban Abraham Joseph's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Boban Abraham Joseph is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
On what date did the Boban Abraham Joseph receive the assignment of its 1639109101 from the Centers for Medicare & Medicaid Services?
The Boban Abraham Joseph was issued its 1639109101 by the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the information regarding Boban Abraham Joseph most recently updated?
The details pertaining to the Boban Abraham Joseph, including its address, specialty, and other relevant information, were last refreshed on 2020-09-14.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA