Active NPIIndividual provider

Dr. Jerry P Abraham, MD, MPH, CMQ

General Practice in Los Angeles, California

NPI Number1932514874
Practice location
1400 S Grand Ave Ste 703, Usc-Chmc Family Medicine Residency Program, Los Angeles, CA 90015-3068
Fax
213-741-1434
Last updated
March 27, 2020

Dr. Jerry P Abraham, MD, MPH, CMQ is a General Practice based in Los Angeles, CA. Dr. Jerry P Abraham, MD, MPH, CMQ holds the professional credentials of MD, MPH, CMQ. The NPI number for Dr. Jerry P Abraham, MD, MPH, CMQ is 1932514874 and holds license No. 141443 (CA). The current practice location address is 1400 S Grand Ave Ste 703, Usc-Chmc Family Medicine Residency Program, Los Angeles, CA 90015-3068 and the office can be reached by phone at 213-741-1106 and by fax at 213-741-1434. The NPI was assigned on June 30, 2014 and the record was last updated in NPPES on March 27, 2020.

●Provider Profile Details

NPI Number
1932514874
Provider Name
Jerry Puthenpurakal Abraham
Credential
MD, MPH, CMQ
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Enumeration Date
June 30, 2014
Last Update Date
March 27, 2020
Certification Date
March 27, 2020
NPI Status
Active

◉Business Practice Location Address

Address
1400 S Grand Ave Ste 703
Usc-Chmc Family Medicine Residency Program
Los Angeles, CA 90015-3068
ZIP
90015-3068
Country
US
Phone Number
213-741-1106
Fax Number
213-741-1434

Get directions →

✉Business Mailing Address

Address
1400 S Grand Ave Ste 703
Usc-Chmc Family Medicine Residency Program
Los Angeles, CA 90015-3068
City
Los Angeles
State
CA
ZIP
90015-3068
Phone Number
213-741-1106
Fax Number
213-741-1434

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
General Practice208D00000XYes141443CA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Jerry P Abraham, MD, MPH, CMQ?

The NPI number of Dr. Jerry P Abraham, MD, MPH, CMQ is 1932514874. It was assigned on June 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerry P Abraham, MD, MPH, CMQ?

Dr. Jerry P Abraham, MD, MPH, CMQ is registered under the primary taxonomy General Practice (code 208D00000X) and holds license No. 141443 (CA).

Where does Dr. Jerry P Abraham, MD, MPH, CMQ practice?

The practice location is 1400 S Grand Ave Ste 703, Usc-Chmc Family Medicine Residency Program, Los Angeles, CA 90015-3068. The office can be reached at 213-741-1106 (phone) or 213-741-1434 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932514874 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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