Organization
PEZ ABRAHAMS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEZ ABRAHAMS M.D. (PRESIDENT)
(818) 888-4063
Entity
Organization
Contact information
Practice address
621 S BROADWAY, SUITE 306, LOS ANGELES, CA 90014-1897
(818) 888-4063
(818) 888-4064
Mailing address
621 S BROADWAY, SUITE 306, LOS ANGELES, CA 90014-1897
(818) 888-4063
(818) 888-4064
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A71500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A715000
—
CA
Enumeration date
01/17/2007
Last updated
08/22/2020
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