Provider Demographics
NPI:1306844626
Name:ABRAMS, ALLAN STANLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:STANLEY
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALLAN
Other - Middle Name:STANLEY
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1687 ERRINGER RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-6508
Mailing Address - Country:US
Mailing Address - Phone:805-520-0462
Mailing Address - Fax:805-520-3486
Practice Address - Street 1:1687 ERRINGER RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6508
Practice Address - Country:US
Practice Address - Phone:805-520-0462
Practice Address - Fax:805-520-3486
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA219882084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry