Individual provider · NPI-1
Sergio Abundis
Rehabilitation Practitioner · Oakland, CA
NPI number1316699135
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1316699135
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sergio Abundis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2022
- Certification date
- Apr 29, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
150 Linden StOakland, CA 94607-2538
Phone 510-273-4700
Mailing address
1266 14th StOakland, CA 94607-2247
Phone 510-273-4700
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