Individual
DR. JERRY PUTHENPURAKAL ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, CMQ
Contact information
Practice address
1400 S GRAND AVE STE 703, USC-CHMC FAMILY MEDICINE RESIDENCY PROGRAM, LOS ANGELES, CA 90015-3068
(213) 741-1106
(213) 741-1434
Mailing address
1400 S GRAND AVE STE 703, USC-CHMC FAMILY MEDICINE RESIDENCY PROGRAM, LOS ANGELES, CA 90015-3068
(213) 741-1106
(213) 741-1434
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
141443
CA
Other
Enumeration date
06/30/2014
Last updated
03/27/2020
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