Healthcare Provider Details

I. General information

NPI: 1063549491
Provider Name (Legal Business Name): RUBEN B ABRAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RUBEN B ABRAMS MD

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD STE 402
BEVERLY HILLS CA
90210-6134
US

IV. Provider business mailing address

9301 WILSHIRE BLVD STE 402
BEVERLY HILLS CA
90210-6134
US

V. Phone/Fax

Practice location:
  • Phone: 310-276-7777
  • Fax: 310-388-5258
Mailing address:
  • Phone: 310-276-7777
  • Fax: 310-388-5258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA41164
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: