Provider Demographics
NPI:1073084729
Name:BRYAN L ABRAMOWITZ MD INC.
Entity Type:Organization
Organization Name:BRYAN L ABRAMOWITZ MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ABRAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-836-2491
Mailing Address - Street 1:4282 GENESEE AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4985
Mailing Address - Country:US
Mailing Address - Phone:858-836-2491
Mailing Address - Fax:858-836-2496
Practice Address - Street 1:4282 GENESEE AVE STE 302
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-4985
Practice Address - Country:US
Practice Address - Phone:858-836-2491
Practice Address - Fax:858-836-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care