Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 28926 | CA |
N | 111NR0200X | Radiology | RHC 00163187 | CA |
N | 213ER0200X | Radiology | RHC 00163187 | CA |
NPI | 1235360348 |
---|---|
Provider Name | Dr. Robert William Abrahams |
First Address | Buena Park, CA 90621-4221 |
Second Address | Buena Park, CA 90621-4221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 13/12/2012 |