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CHAD MICHAEL ABBOTT MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1285831602

Individual Registrant:
 CHAD MICHAEL ABBOTT MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
24502 PACIFIC PARK DR  ALISO VIEJO, CA 92656-3033 US
Tel: 949-425-3221  Fax: 949-425-3035

Contact information for business:
24502 PACIFIC PARK DR  ALISO VIEJO, CA 92656-3033 US
Tel: 949-425-3221  Fax: 949-425-3035

Registration Information:
NPI: 1285831602
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA118223

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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