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Individual

ABRAHAM DAVID GADELOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-1400
Mailing address
21 CROSSPOINTE, IRVINE, CA 92618-1731
(917) 603-4750

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024858
NY
363A00000X
Physician Assistant
61965
CA
363A00000X
Physician Assistant
Primary
PA61965
CA

Other

Enumeration date
01/05/2020
Last updated
03/20/2023
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