Individual provider · NPI-1

Phillip Abarca

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

NPI number1144857947
StatusActive
Last updated in NPPESMar 24, 2020

Details

NPI
1144857947
Entity type
Individual (NPI-1)
Name
Phillip Abarca
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2020
Certification date
Mar 24, 2020
Last updated
Mar 24, 2020

Taxonomy and licenses

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

Practice location

1200 N State Street Clinic Tower
Suite A7d
Los Angeles, CA 90033-1029

Phone 323-409-7556

Mailing address

1200 N State Street Clinic Tower
Suite A7d
Los Angeles, CA 90033-1029

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