Healthcare Provider Details

I. General information

NPI: 1023372224
Provider Name (Legal Business Name): CHRISTINA COLEMAN ABADI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2012
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST
SAN FRANCISCO CA
94158-2545
US

IV. Provider business mailing address

550 16TH ST
SAN FRANCISCO CA
94158-2545
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-7062
  • Fax:
Mailing address:
  • Phone: 415-502-7062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number252620
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number20A15224
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: