Healthcare Provider Details

I. General information

NPI: 1447754379
Provider Name (Legal Business Name): BRITTANY GABRIELLA ABT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE STE A-501
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

235 S SAN PEDRO ST APT 252
LOS ANGELES CA
90012-3573
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1606
  • Fax:
Mailing address:
  • Phone: 949-289-0107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberA165087
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA165087
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberA165087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: