MR. BUSHRA ABRAHAM


Address: 2370 Crenshaw Blvd Ste I-1, Torrance, CA 90501-3352
Phone: 3109951101

MR. BUSHRA ABRAHAM (NPI# 1841837929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841837929
Entity Type Individual
Full Name MR. BUSHRA ABRAHAM
Other Name MR. BUSHRA SAAD IBRAHIM
Credential OPTICIAN
Practice Address 2370 Crenshaw Blvd Ste I-1
Torrance
CA 90501-3352
Mailing Address 2425 W 182nd St Apt 9
Torrance
CA 90504-5233
Practice Telephone 3109951101
Mailing Telephone 3109951101
Enumeration Date 2019-12-07
Last Update Date 2019-12-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Office Location

Street Address 2370 CRENSHAW BLVD STE I-1
City TORRANCE
State CA
Zip Code 90501-3352

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City TORRANCE
Zip Code 90501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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