MEDICARE: ABIGAIL SUAREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1043996838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL SUAREZ

Provider Business Mailing Address
First Line	:	4221 WILSHIRE BLVD STE 300A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010
Country	:	US
Telephone Number	:	888-428-3223
Fax Number	:	323-866-1881

Provider Business Practice Location Address
First Line	:	312 S. JUNIPER ST. SUITE 202 CA
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025
Country	:	US
Telephone Number	:	888-428-3223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	05/11/2026

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Directions to “ ABIGAIL SUAREZ ” Practice Location

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