Organization
ABS UTAH, P.C.
Active
Organization
ABS UTAH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE PALEY (DIRECTOR OF CONTRACTING)
(626) 658-8947
Entity
Organization
Contact information
Practice address
2711 RANDOLPH RD STE 100, CHARLOTTE, NC 28207-2027
(626) 658-8947
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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