Provider Demographics
NPI:1427398395
Name:ABRAHAMS CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ABRAHAMS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ABRAHAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-444-2789
Mailing Address - Street 1:6281 BEACH BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-4221
Mailing Address - Country:US
Mailing Address - Phone:949-444-2789
Mailing Address - Fax:
Practice Address - Street 1:6281 BEACH BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-4221
Practice Address - Country:US
Practice Address - Phone:949-444-2789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty