Provider Demographics
NPI:1295858215
Name:ABIVA, DAVID ROBLES II (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ROBLES
Last Name:ABIVA
Suffix:II
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:16418 MYRA LN
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1524
Mailing Address - Country:US
Mailing Address - Phone:714-318-4843
Mailing Address - Fax:
Practice Address - Street 1:12522 LAMBERT RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2758
Practice Address - Country:US
Practice Address - Phone:562-789-5420
Practice Address - Fax:562-967-2929
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA17760207Q00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant