Individual provider · NPI-1
Randy Ababseh, NATABOC ATC,
Specialist/Technologist, Other, Orthopedic Assistant · Moorpark, CA
NPI number1043910235
StatusActive
Last updated in NPPESMar 6, 2023
Details
- NPI
- 1043910235
- Entity type
- Individual (NPI-1)
- Name
- Randy Ababseh
- Credential
- NATABOC ATC,
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Mar 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZX2200X | Specialist/Technologist, Other, Orthopedic Assistant | – | – | Yes |
Practice location
13247 Elmrock AveMoorpark, CA 93021-3017
Phone 805-432-0072
Mailing address
13247 Elmrock AveMoorpark, CA 93021-3017
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