Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A24454 | CA |
NPI | 1003918459 |
---|---|
Provider Name | Dr. Constante U Abaya |
First Address | Oxnard, CA 93030 |
Second Address | Oxnard, CA 93030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 26/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A244540 | (05) | CA |
A23988 | (02) |