Katherine Abraham, P.A.
Individual provider Active NPI Physician Assistant · Long Beach, CA
NPI 1235478207 · NPPES record last updated Feb 11, 2013
Key facts
- NPI
- 1235478207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 22827 (CA)
- Practice address
- 500 W Willow St
Long Beach, CA 90806-2831 - Phone
- (562) 427-1700
- NPI assigned
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 22827 | CA | Yes |
Addresses
Primary practice location
500 W Willow St
Long Beach, CA 90806-2831
Mailing address
2450 Stanley
Tustin, CA 92782-1269
Phone (818) 515-7949
Other providers in Long Beach, CA
- Raymond Ables
- Cindy Aboud
- Saheil Samih Aboutalib
- Andrew Abraham
- Ann Abraham
- Khadejah Abraham
- Gary Morris Abrahams
- Ashlee Abram
- Esmeralda Abril
- Noel Pangilinan Abril
All providers in Long Beach, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.