Individual
FRANK GREGORY ABT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
PO BOX 12410, WESTMINSTER, CA 92685-2410
(866) 234-5107
(562) 924-5830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039471
NCCPA
—
05
—
PA14702
—
CA
Enumeration date
05/26/2006
Last updated
03/07/2023
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