Provider Demographics
NPI:1003978651
Name:ABBINANTI, MONIQUE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:MARIE
Last Name:ABBINANTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 S HUDSON AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2614
Mailing Address - Country:US
Mailing Address - Phone:626-792-4933
Mailing Address - Fax:626-792-7883
Practice Address - Street 1:133 S HUDSON AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2614
Practice Address - Country:US
Practice Address - Phone:626-792-4933
Practice Address - Fax:626-792-7883
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor