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NPI Code Detail

MEDICARE: MS. GAIL ABENDROTH ABENDROTH MFT

MEDICARE: MS. GAIL ABENDROTH ABENDROTH MFT
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
1106H00000XMarriage & Family TherapistMFC32084CA
2163W00000XRegistered Nurse385390CA

General Provider Information

NPI Number : 1427183193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL ABENDROTH ABENDROTH MFT
Provider Business Mailing Address
First Line : 100 E WARDLOW RD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4417
Country : US
Telephone Number : 562-981-9392
Fax Number :
Provider Business Practice Location Address
First Line : 850 E WARDLOW RD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4628
Country : US
Telephone Number : 562-981-9392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 10/01/2015

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