Abraham, Reginald G M
Abraham, Reginald G M is an sole proprietor health care provider with primary practice located at 11100 Warner Ave Suite 258, Fountain Valley CA 92708-7506. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Abraham, Reginald G M can be contacted via phone (714) 549-5990.Contact Information
Primary practice address
11100 Warner Ave Suite 258
Fountain Valley CA 92708-7506
Phone: (714) 549-5990
Fax: (714) 549-0866
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | A75917 | California |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | A75917 | California |
Profile Details
NPI number | 1720042864 |
---|---|
LBN Legal business name | Abraham, Reginald G M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 14th, 2006 |
Last updated | Jun 5th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720042864 | NPPES |
California | MEDICAID | 00A75917 |
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