Mai Abe, LE
Individual provider Active NPI Specialist · Santa Monica, CA
NPI 1609405158 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1609405158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- L9662 (CA)
- Practice address
- 1333 2ND St Ste 100
Santa Monica, CA 90401-4104 - Phone
- (310) 550-5566
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9662 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana Elise Solutions | Specialist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L9662 | CA | Yes |
Addresses
Primary practice location
1333 2ND St Ste 100
Santa Monica, CA 90401-4104
Mailing address
1333 2ND St Ste 100 Unit 24
Santa Monica, CA 90401-4104
Phone (323) 608-7910
Other providers in Santa Monica, CA
- Saloumeh Abadi
- Victor J Abbey
- Farid Kamil Abdelmalak
- Miriam Abdelmesih
- Joseph Abdulmasih
- Evan Dale Abel
- Abergel Institute
- Robert Patrick Abergel
- Abigail Gold, LLC
- Angineh Carol Abkarian I
All providers in Santa Monica, CA · Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. 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.