Doctor Name: | ELNAZ SHAHABI-ABNEY |
NPI Number: | 1144660879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 20A11313 |
Business Practice Address: | 8 Falkner Dr Ladera Ranch, CA - 926940925 |
Business Phone Number: | 9496364290 |
Business Fax Number: | 9492166006 |
Mailing Address: | 8 Falkner Dr, LADERA RANCH |
State: | CA |
Postal Code: | 926940925 |
Phone Number: | 9496364290 |
Fax Number: | 9492166006 |
NPI Enumeration Date: | 06/26/2013 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 20A11313 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |