Healthcare Provider Details

I. General information

NPI: 1912177262
Provider Name (Legal Business Name): LAWRENCE K ABEND, DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 DEEP VALLEY DR STE 250
ROLLING HILLS ESTATES CA
90274-3841
US

IV. Provider business mailing address

927 DEEP VALLEY DR STE 250
ROLLING HILLS ESTATES CA
90274-3841
US

V. Phone/Fax

Practice location:
  • Phone: 310-377-6926
  • Fax:
Mailing address:
  • Phone: 310-377-6926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE KENNETH ABEND
Title or Position: OWNER
Credential: DPM
Phone: 310-377-6926