Healthcare Provider Details

I. General information

NPI: 1740829894
Provider Name (Legal Business Name): CHRISTOPHER FERRER ABROGINA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 FAIRFORD DR
FULLERTON CA
92833-1506
US

IV. Provider business mailing address

13162 SUTTON ST
CERRITOS CA
90703-8731
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-7439
  • Fax:
Mailing address:
  • Phone: 562-712-9085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number4365
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: