Organization
ABRAM KOSTENBOYM, MD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAM KOSTENBOYM MD (PRESIDENT)
(323) 656-1082
Entity
Organization
Contact information
Practice address
7855 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(323) 656-1082
(323) 656-1083
Mailing address
7855 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(323) 656-1082
(323) 656-1083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A38783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100410
—
CA
Enumeration date
07/14/2006
Last updated
11/20/2009
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