1639409048 NPI number — MRS. MARLIE JEEVANI ABRAHAMS PA-C

Table of content: MRS. MARLIE JEEVANI ABRAHAMS PA-C (NPI 1639409048)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639409048 NPI number — MRS. MARLIE JEEVANI ABRAHAMS PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABRAHAMS
Provider First Name:
MARLIE
Provider Middle Name:
JEEVANI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FERNANDO
Provider Other First Name:
MARLIE
Provider Other Middle Name:
JEEVANI
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639409048
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1331 W CENTRAL AVE APT 69
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA ANA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92704-5778
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-760-0679
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
661 W 1ST ST STE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUSTIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92780-2939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-665-9890
Provider Business Practice Location Address Fax Number:
714-665-9891
Provider Enumeration Date:
01/06/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  20745 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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