Individual provider · NPI-1

Joey Jaime Abadilla, MD

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number1093417818
StatusActive
Last updated in NPPESMar 18, 2023

Details

NPI
1093417818
Entity type
Individual (NPI-1)
Name
Joey Jaime Abadilla
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 17, 2023
Certification date
Mar 18, 2023
Last updated
Mar 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4199

Phone 951-788-3000

Mailing address

6500 38th Ave N
St Petersburg, FL 33710-1629

Phone 951-788-3536

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