MEDICARE: ANDREA JENINE ABAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	21994	CA

General Provider Information

NPI Number	:	1043883176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA JENINE ABAD

Provider Business Mailing Address
First Line	:	11404 LAUREL CANYON BLVD
Second Line	:
City	:	SAN FERNANDO
State	:	CA
Zip	:	91340-4122
Country	:	US
Telephone Number	:	818-522-8693
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 ALCAZAR ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-4122
Country	:	US
Telephone Number	:	323-442-2850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	03/01/2023

Similar Medicare Providers

1710974522 — DR. FELIX SIGAL DPM
Practice Location Address:

3333 WILSHIRE BLVD STE 500
LOS ANGELES, CA
90010-4122

Practice Phone: 213-365-0793
Practice Fax:

1912026030 — MS. AISHA CHERISE POWELL LCSW
Practice Location Address:

4635 DON ZAREMBO DR
LOS ANGELES, CA
90008-4122

Practice Phone: 310-871-4252
Practice Fax:

1861774507 — FELIX SIGAL DPM A PROFESSIONAL CORPORATION
Practice Location Address:

3333 WILSHIRE BLVD STE 500
LOS ANGELES, CA
90010-4122

Practice Phone: 213-365-0793
Practice Fax:

1386056638 — MS. DANISHA HAIRSTON
Practice Location Address:

4635 DON ZAREMBO DR
LOS ANGELES, CA
90008-4122

Practice Phone: 213-610-3233
Practice Fax:

1871014829 — JONATHAN BARCLAY MD
Practice Location Address:

757 WESTWOOD PLZ
LOS ANGELES, CA
90095-4122

Practice Phone: 310-267-9593
Practice Fax:

1013519578 — DR. BAILEY YUAN PHARMD
Practice Location Address:

620 S VIRGIL AVE STE 100
LOS ANGELES, CA
90005-4122

Practice Phone: 213-637-0215
Practice Fax:

Directions to “ ANDREA JENINE ABAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.