Organization
GLEN ABERGEL,MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN ABERGEL MD (SOLE OWNER/SOLE OFFICER)
(805) 573-0906
Entity
Organization
Contact information
Practice address
1910 OUTLET CENTER DR, OXNARD, CA 93036-0677
(805) 485-2400
(805) 485-2455
Mailing address
2510 LAS POSAS RD STE G, # 202, CAMARILLO, CA 93010-3496
(805) 389-1553
(805) 389-1553
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A067324
CA
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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