Individual
DR. MIRIAM ABAUNZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12021 WILSHIRE BLVD # 745, LOS ANGELES, CA 90025-1206
(909) 267-5900
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(916) 267-1936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
43010978081
MI
208600000X
Surgery Physician
Primary
A161267
CA
Other
Enumeration date
06/22/2010
Last updated
07/25/2019
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