Individual provider · NPI-1

Brandon Kosal Abrajan, DO

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

NPI number1861141186
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1861141186
Entity type
Individual (NPI-1)
Name
Brandon Kosal Abrajan
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 23, 2022
Certification date
Mar 23, 2022
Last updated
Mar 23, 2022

Taxonomy and licenses

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

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Phone 562-218-9547

Mailing address

4445 Magnolia Ave
Riverside, CA 92501-4135

Phone 562-218-9547

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