Provider Demographics
NPI:1437170982
Name:ABRAMS, ROBERT ARNOLD (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ARNOLD
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1135 S SUNSET AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3938
Mailing Address - Country:US
Mailing Address - Phone:626-962-9442
Mailing Address - Fax:626-337-7663
Practice Address - Street 1:1135 S SUNSET AVE STE 107
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3938
Practice Address - Country:US
Practice Address - Phone:626-962-9442
Practice Address - Fax:626-337-7663
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1549213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4934690001Medicare NSC