Individual
DR. BASSEY BASSEY ENUN-ABARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 E CARSON PLAZA DR STE 119, CARSON, CA 90746-3218
(310) 532-6030
(310) 763-1199
Mailing address
PO BOX 723, TORRANCE, CA 90508-0723
(310) 532-6030
(310) 763-1199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-E0910192252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190574AN
DEPT. OF ALCOHOL AND DRUG PROGRAMS
CA
Enumeration date
11/09/2009
Last updated
11/09/2009
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