Provider Demographics
NPI:1497789762
Name:ABRAMS, MATHIS (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:MATHIS
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8383 WILSHIRE BLVD.
Mailing Address - Street 2:SUITE 654
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2405
Mailing Address - Country:US
Mailing Address - Phone:323-655-4233
Mailing Address - Fax:
Practice Address - Street 1:8383 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 654
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2405
Practice Address - Country:US
Practice Address - Phone:323-655-4233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG121192084F0202X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000G12119Medicaid
CAG12119Medicare ID - Type UnspecifiedMEDICARE
CA000G12119Medicaid