Sue Abravesh M.D. Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A70930 Issued in CA

Legal business name

SUE ABRAVESH M.D. INC.

Practice address

600 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-2106

Phone

(949) 364-3940

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sue Abravesh, M.D.

Title

President

Phone

(949) 364-3940

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043439516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7630",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077630",
            "telephone_number": "949-643-3345",
            "fax_number": "949-643-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942106",
            "telephone_number": "949-364-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE ABRAVESH M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAVESH",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-3940",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A70930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A709301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Arthur Spicer, D.C.
• Evelyn Spille
• Nicole Zoe Stelter, PHD, MFT
• Julia Stern Maurer
• Melisenda Alisha Stone
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• Sun Medical Group, Inc (AFC Ladera RAnch)
• Ma Regina Sunico, OTR/L
• Ronald Sunico
• Sunrise Behavior Services of Orange County, LLC

• Obstetrics & Gynecology Physician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.