Healthcare Provider Details

I. General information

NPI: 1366623746
Provider Name (Legal Business Name): EDWARD ABRAMS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16243 COLORADO AVE
PARAMOUNT CA
90723-5009
US

IV. Provider business mailing address

16243 COLORADO AVE
PARAMOUNT CA
90723-5009
US

V. Phone/Fax

Practice location:
  • Phone: 562-633-4770
  • Fax: 562-633-4750
Mailing address:
  • Phone: 562-633-4770
  • Fax: 562-633-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG17797
License Number StateCA

VIII. Authorized Official

Name: DR. EDWARD ABRAMS
Title or Position: PRESIDENT
Credential: MD
Phone: 562-633-4770