Romone Cornellius Abrams Jr.

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pasadena, CA

NPI 1104603307 · NPPES record last updated Sep 11, 2023

Key facts

NPI
1104603307
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
940 Avenue 64
Pasadena, CA 91105-2711
Phone
(323) 254-2274
NPI assigned
Sep 11, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

940 Avenue 64
Pasadena, CA 91105-2711

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 254-2274

Other providers in Pasadena, CA

All providers in Pasadena, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.