Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | G55587 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME117249 | FL |
NPI | 1245281856 |
---|---|
Provider Name | Dr. Jean-Jacques Abitbol |
First Address | San Diego, CA 92123-1338 |
Second Address | San Diego, CA 92111-5343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 03/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009859400 | (05) | FL |
E11573 | (02) |