=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043847114
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ABHISHEK KUMAR MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2020
-----------------------------------------------------
Last Update Date | 07/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18000 STUDEBAKER RD STE 800
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-2671
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-735-3226
-----------------------------------------------------
Fax | 833-438-9659
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18000 STUDEBAKER RD STE 800
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-2671
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-735-3226
-----------------------------------------------------
Fax | 833-438-9659
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0001X
-----------------------------------------------------
Taxonomy Name | Radiation Oncology Physician
-----------------------------------------------------
License Number | RTL21-1087
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2085R0001X
-----------------------------------------------------
Taxonomy Name | Radiation Oncology Physician
-----------------------------------------------------
License Number | A195171
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------