Andrew Abraham, M.D.
Individual provider Active NPI Family Medicine Physician · Long Beach, CA
NPI 1740526482 · NPPES record last updated Dec 28, 2012
Key facts
- NPI
- 1740526482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A114446 (CA)
- Practice address
- 500 W Willow St
Long Beach, CA 90806-2831 - Phone
- (562) 427-1700
- NPI assigned
- Dec 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114446 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A114446 | CA | Yes |
Addresses
Primary practice location
500 W Willow St
Long Beach, CA 90806-2831
Mailing address
2450 Stanley
Tustin, CA 92782-1269
Other providers in Long Beach, CA
- Abigail Abiva
- Tirsit Abiy
- Raymond Ables
- Cindy Aboud
- Saheil Samih Aboutalib
- Ann Abraham
- Katherine Abraham
- Khadejah Abraham
- Gary Morris Abrahams
- Ashlee Abram
All providers in Long Beach, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2012. 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.