Individual provider · NPI-1

Dr. Vivek Mathew Abraham, MD

Orthopaedic Surgery, Pediatric Orthopaedic Surgery · Camp Pendleton, CA

NPI number1942829494
StatusActive
Last updated in NPPESSep 1, 2026

Details

NPI
1942829494
Entity type
Individual (NPI-1)
Name
Dr. Vivek Mathew Abraham
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2020
Certification date
Sep 1, 2026
Last updated
Sep 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic SurgeryA210009CAYes

Practice location

200 Mercy Cir.
Orthopaedic Surgery
Camp Pendleton, CA 92055

Phone 760-725-1619

Mailing address

200 Mercy Cir.
Orthopaedic Surgery
Camp Pendleton, CA 92055

Phone 760-725-1619

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