Individual
ABRAHAM M ISHAAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5901 W OLYMPIC BLVD, STE 200, LOS ANGELES, CA 90036-4663
(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
09/26/2013
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