MEDICARE: ABEL PLACHNO AU.D.

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	231H00000X	Audiologist	AU3938	CA

General Provider Information

NPI Number	:	1467283804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABEL PLACHNO AU.D.

Provider Business Mailing Address
First Line	:	39141 CIVIC CENTER DR STE 205
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-5823
Country	:	US
Telephone Number	:	833-832-7077
Fax Number	:

Provider Business Practice Location Address
First Line	:	39141 CIVIC CENTER DR STE 205
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-5823
Country	:	US
Telephone Number	:	833-832-7077
Fax Number	:

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

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	09/25/2024

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