Abedon, Stephen Israel

Abedon, Stephen Israel is an individual health care provider with primary practice located at 1900 Sullivan Ave , Daly City CA 94015-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Abedon, Stephen Israel can be contacted via phone (650) 691-6503.

Contact Information

Primary practice address
1900 Sullivan Ave Daly City CA 94015-2200
Phone: (650) 691-6503
Fax: (650) 991-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G70312 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G70312 California

Profile Details

NPI number 1689628687
LBN Legal business name Abedon, Stephen Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Sep 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689628687 NPPES
California MEDICAID 00G703120
California Other 110247226

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