Individual
DANIEL ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E VALENCIA MESA DR, EM DEPT, FULLERTON, CA 92835-3809
(714) 992-3965
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G22988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G229880
BLUE SHIELD
CA
05
—
00G229880
—
CA
01
—
930000918
RR MEDICARE
CA
01
—
G22988
ATHEM BLUE CROSS
CA
Enumeration date
06/07/2006
Last updated
09/17/2009
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