Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000E40820 | CA |
Y | 222Z00000X | Podiatrist | 000E40820 | CA |
N | 111NR0200X | Radiology | RHD147705 | CA |
N | 213ER0200X | Radiology | RHD147705 | CA |
N | 213ES0103X | Foot & Ankle Surgery | 03014 | CA |
NPI | 1740368968 |
---|---|
Provider Name | David C Abdoo |
First Address | Salinas, CA 93906 |
Second Address | Salinas, CA 93906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E40820 | (05) | CA |
480025858 | MEDICARE RAILROAD (01) | CA |
U71445 | (02) |