# REGINALD G M ABRAHAM M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831379270
- **Authorized official:** DR. REGINALD G M ABRAHAM M D (DIRECTOR)
- **Authorized official phone:** (714) 549-5990

## Contact information

- **Practice address:** 11100 WARNER AVE, SUITE 258, FOUNTAIN VALLEY, CA 92708-7506
- **Practice address phone:** (714) 549-5990
- **Practice address fax:** (714) 845-0041
- **Mailing address:** 11100 WARNER AVE, SUITE 258, FOUNTAIN VALLEY, CA 92708-7506
- **Mailing address phone:** (714) 549-5990
- **Mailing address fax:** (714) 845-0041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A7917 | CA | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 06/05/2012