| David Abrahamson MD Inc | |
|
16300 Sand Canyon Ave Suite 801 Irvine CA 92618-3708 | |
| (949) 262-2996 | |
| (949) 715-4934 |
| Full Name | David Abrahamson MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16300 Sand Canyon Ave, Irvine, California |
| Authorized Official Name and Position | David Abrahamson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9492622996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Abrahamson MD Inc Po Box 7526 Laguna Niguel CA 92607-7526 Ph: (949) 262-2996 | David Abrahamson MD Inc 16300 Sand Canyon Ave Suite 801 Irvine CA 92618-3708 Ph: (949) 262-2996 |
| NPI Number | 1942381793 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 04/16/2012 |
| Medicare PECOS PAC ID | 7416114434 |
|---|---|
| Medicare Enrollment ID | O20120202000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942381793 | NPI | - | NPPES |
| 00A435541 | Medicaid | CA | |
| A43554 | Other | CA | STATE LICENSE |
| 00A435540 | Other | CA | CAL-OPTIMA |
| 060034801 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A43554 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A43554 (California) | Primary |
| Provider Name | David Abrahamson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730387150 PECOS PAC ID: 8022919794 Enrollment ID: I20040115000952 |
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