Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A81985 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A81985 | CA |
NPI | 1225126147 |
---|---|
Provider Name | Paul N Abeyta |
First Address | Los Altos, CA 94022-1408 |
Second Address | Burlingame, CA 94010-4506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 11/12/2020 |