Charles J Abbott MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G39546 Issued in CA

Legal business name

CHARLES J ABBOTT MD INC

Practice address

6333 Wilshire Blvd
#210
Los Angeles, CA 90048-5724

Phone

(323) 655-3772

Fax

(323) 655-5012

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles J Abbott, MD

Title

President

Phone

(323) 605-3772

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Charles J Abbott MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charles J Abbott MD Inc

  • Ophthalmology Physician
  • Bellflower, CA
  • NPI 1992883144
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yuri S Oleynikov, MD, PHD

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1790707875
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083701460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "address_2": "#210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485724",
            "telephone_number": "323-655-3772",
            "fax_number": "323-655-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "address_2": "#210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485724",
            "telephone_number": "323-655-3772",
            "fax_number": "323-655-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J ABBOTT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-605-3772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G39546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G395460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charla House a Family Therapy Corporation
• Charles B. Witt, Jr MD Inc
• Charles Drew University Multi-Specialty Group Inc
• Charles Drew University of Medicine & Science
• Charles I Okonkwo MD Inc
• Charles J. Jung, DMD, a Professional Corp.
• Charles Joel. Burstin MD Inc
• Charles L Wiseman MD Apc
• Charles L. Foster Jr. DDS Inc.
• Charles L. Herring, MD, Apc

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology 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.