Provider Demographics
NPI:1780693382
Name:TOWFIGH, ABBASSEH (DPM)
Entity type:Individual
Prefix:DR
First Name:ABBASSEH
Middle Name:
Last Name:TOWFIGH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 15TH ST
Mailing Address - Street 2:SUITE 1014
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1135
Mailing Address - Country:US
Mailing Address - Phone:310-451-1618
Mailing Address - Fax:310-395-6747
Practice Address - Street 1:1260 15TH ST
Practice Address - Street 2:SUITE 1014
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1135
Practice Address - Country:US
Practice Address - Phone:310-451-1618
Practice Address - Fax:310-395-6747
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3905213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU44301Medicare UPIN