Provider Demographics
NPI:1598747057
Name:ABUSLEME, VERONICA (MD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:ABUSLEME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:ABUSLEME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14621 NORDHOFF ST
Mailing Address - Street 2:2-A
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1829
Mailing Address - Country:US
Mailing Address - Phone:818-891-0678
Mailing Address - Fax:818-891-6810
Practice Address - Street 1:14621 NORDHOFF ST
Practice Address - Street 2:2-A
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1829
Practice Address - Country:US
Practice Address - Phone:818-891-0678
Practice Address - Fax:818-891-6810
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAO38422207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB50377Medicare PIN