MEDICARE: RICHARD M. ABRAMS

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	1223G0001X	General Practice Dentistry	23272	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144342791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD M. ABRAMS

Provider Business Mailing Address
First Line	:	3311 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1812
Country	:	US
Telephone Number	:	323-665-7665
Fax Number	:	323-953-6695

Provider Business Practice Location Address
First Line	:	3311 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1812
Country	:	US
Telephone Number	:	323-665-7665
Fax Number	:	323-665-1955

Authorized Official
Title or Position	:	DENTIST OWNER
Name	:	RICHARD M ABRAMS
Credential	:	DDS
Telephone Number	:	323-665-7665

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/31/2014

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