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Contact Information

MARDON R ABESAMIS
25534 HURON ST
LOMA LINDA, CA92354-3721
 Phone: 909-809-1621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARDON R ABESAMIS · (Male)

NPI Number 1982551925
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2026
Last updated 03/16/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 95039015
  • CA License # 95262145
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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