Organization Name: | ROBERT J. ABRAMS, DPM |
NPI Number: | 1508027137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT JAMES ABRAMS (OWNER) |
Mailing Address: | 530 New Los Angeles Ave. Suite 210 Moorpark |
State: | CA US |
Postal Code: | 930212081 |
Phone Number: | 8055230400 |
Fax Number: | 8055230014 |
NPI Enumeration Date: | 06/17/2008 |
NPI Last Update Date: | 03/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | E3397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |