Organization
REGINALD G M ABRAHAM M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD G M ABRAHAM M D (DIRECTOR)
(714) 549-5990
Entity
Organization
Contact information
Practice address
11100 WARNER AVE, SUITE 258, FOUNTAIN VALLEY, CA 92708-7506
(714) 549-5990
(714) 845-0041
Mailing address
11100 WARNER AVE, SUITE 258, FOUNTAIN VALLEY, CA 92708-7506
(714) 549-5990
(714) 845-0041
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A7917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A795170
—
CA
Enumeration date
11/13/2007
Last updated
06/05/2012
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