Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | L-9556 | CA |
NPI | 1275027153 |
---|---|
Provider Name | David Abdi |
First Address | Temecula, CA 92592-3081 |
Second Address | Temecula, CA 92590-3619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2018 |
Last Update Date | 14/06/2018 |