Individual
JOSE E. ABDENUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 S MAIN ST, PSF METABOLIC, ORANGE, CA 92868-3835
(714) 289-4511
(714) 289-4788
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8852
(714) 532-8362
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
A83870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A838700
—
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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