Healthcare Provider Details

I. General information

NPI: 1295954220
Provider Name (Legal Business Name): STEVEN LEONARD ABRAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16255 VENTURA BLVD 302
ENCINO CA
91436-2302
US

IV. Provider business mailing address

16255 VENTURA BLVD 302
ENCINO CA
91436-2302
US

V. Phone/Fax

Practice location:
  • Phone: 818-981-5510
  • Fax: 818-981-0051
Mailing address:
  • Phone: 818-981-5510
  • Fax: 818-981-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG11154
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberG11154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: