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KRISTOFER ABEJUELA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194122234

Individual Registrant:
 KRISTOFER  ABEJUELA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2158 DERRINGER LN  DIAMOND BAR, CA 91765-3333 US
Tel: 909-861-3358  Fax: --

Contact information for business:
2158 DERRINGER LN  DIAMOND BAR, CA 91765-3333 US
Tel: --  Fax: --

Registration Information:
NPI: 1194122234
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CA52120

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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