Organization
ABRAHAM ISHAAYA, M.D. A PROFESSIONAL CORPORATION
Active
Organization
ABRAHAM ISHAAYA, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM M ISHAAYA M.D. (MEDICAL DIRECTOR)
(323) 954-1788
Entity
Organization
Contact information
Practice address
5901 W OLYMPIC BLVD, STE 200, LOS ANGELES, CA 90036
(323) 954-1788
(323) 954-1822
Mailing address
9663 SANTA MONICA BLVD, STE 136, BEVERLY HILLS, CA 90210-4303
(323) 553-7308
(323) 556-7350
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
G71854
CA
207RP1001X
Pulmonary Disease Physician
Primary
G71854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G718541
—
CA
Enumeration date
05/17/2006
Last updated
08/30/2018
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