Individual
ANTONIOUS JONAH ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
246 W COLLEGE ST FL 3, COVINA, CA 91723-1910
(626) 915-1911
(626) 915-2668
Mailing address
293 N STATE COLLEGE BLVD APT 3068, ORANGE, CA 92868-5724
(978) 325-1322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
58382
CA
Other
Enumeration date
07/13/2020
Last updated
11/10/2023
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