Organization
CHARLES J ABBOTT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J ABBOTT MD (PRESIDENT)
(323) 605-3772
Entity
Organization
Contact information
Practice address
6333 WILSHIRE BLVD, #210, LOS ANGELES, CA 90048-5724
(323) 655-3772
(323) 655-5012
Mailing address
6333 WILSHIRE BLVD, #210, LOS ANGELES, CA 90048-5724
(323) 655-3772
(323) 655-5012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G39546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G395460
—
CA
Enumeration date
10/06/2006
Last updated
08/22/2020
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