Organization
NATHAN ABRAHAM MD VISION PROFESSIONALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ABRAHAM MD (PRESIDENT)
(909) 645-6660
Entity
Organization
Contact information
Practice address
24305 TOWN CENTER DR STE 160, VALENCIA, CA 91355-1347
(661) 799-7464
(661) 799-7583
Mailing address
11344 LOMA VISTA DR, LOMA LINDA, CA 92354-3313
(909) 645-6660
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306224456
NPPS
—
Enumeration date
04/30/2020
Last updated
04/30/2020
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