Provider Demographics
NPI:1689880106
Name:ABEL, PHILIP L (DRT)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:L
Last Name:ABEL
Suffix:
Gender:M
Credentials:DRT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2050 S BUNDY DR STE 268
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6128
Mailing Address - Country:US
Mailing Address - Phone:310-447-6141
Mailing Address - Fax:310-447-6142
Practice Address - Street 1:2050 S BUNDY DR STE 268
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6128
Practice Address - Country:US
Practice Address - Phone:310-447-6141
Practice Address - Fax:310-447-6142
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARHP 41412247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist