MEDICARE: ALAN ABRIGO

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	310400000X	Assisted Living Facility	374601895	CA

General Provider Information

NPI Number	:	1780477182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN ABRIGO

Provider Business Mailing Address
First Line	:	12946 AMARANTH ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-3637
Country	:	US
Telephone Number	:	760-415-2999
Fax Number	:

Provider Business Practice Location Address
First Line	:	12946 AMARANTH ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-3637
Country	:	US
Telephone Number	:	760-415-2999
Fax Number	:

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

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	08/13/2025

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Directions to “ ALAN ABRIGO ” Practice Location

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