Individual provider · Type 1 NPI

Mickey Ellis Abraham, MD, MS

Student in an Organized Health Care Education/Training Program · La Jolla, CA

NPI number 1609403732 Active

Practice location

9500 Gilman Dr
La Jolla, CA 92093-5004

Call (619) 543-5540 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609403732

Mickey Ellis Abraham, MD, MS's National Provider Identifier is 1609403732, issued on Mar 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Jolla, CA. The record was last updated on Aug 13, 2021.