MEDICARE: ABRAMED CORP

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	261QA0600X	Adult Day Care Clinic/Center	060000904	CA

General Provider Information

NPI Number	:	1578742896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRAMED CORP

Provider Business Mailing Address
First Line	:	3200 SANTA MONICA BLVD STE 100
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2638
Country	:	US
Telephone Number	:	310-255-0999
Fax Number	:	310-255-0941

Provider Business Practice Location Address
First Line	:	8134 FOOTHILL BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2941
Country	:	US
Telephone Number	:	818-875-8366
Fax Number	:	818-296-9521

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	ARTHUR YEGORYAN
Credential	:
Telephone Number	:	818-464-5129

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	12/08/2017

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