Healthcare Provider Details

I. General information

NPI: 1497586663
Provider Name (Legal Business Name): ABEL TIONY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 E COLORADO BLVD STE 180
PASADENA CA
91101-6144
US

IV. Provider business mailing address

417 CENTINELA AVE APT 413
INGLEWOOD CA
90302-3254
US

V. Phone/Fax

Practice location:
  • Phone: 626-999-2610
  • Fax: 626-999-2612
Mailing address:
  • Phone: 213-379-3532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95227787
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95031674
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: