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Contact Information

SERGE ABDISHOO, MD
601 PARKCENTER DR
SUITE 206
SANTA ANA, CA92705-3522
 Phone: 714-453-0688
 Fax: 714-453-0691
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SERGE ABDISHOO · (Male)

NPI Number 1336162759
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 06/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A85433
  • CA Medicaid 00A854330
  • Other 7165847 AETNA BH PIN
  • CA Other 384508 MGD HEALTH NETWORK PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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