| Abigail M Stanton Md Inc | |
|
1560 E Chevy Chase Dr Ste 130 Glendale CA 91206-4140 | |
| (818) 601-2217 | |
| Not Available |
| Full Name | Abigail M Stanton Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1560 E Chevy Chase Dr Ste 130, Glendale, California |
| Authorized Official Name and Position | Abigail M Stanton (OWNER) |
| Authorized Official Contact | 8186012217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail M Stanton Md Inc Po Box 20040 Encino CA 91416-0040 Ph: (818) 601-2217 | Abigail M Stanton Md Inc 1560 E Chevy Chase Dr Ste 130 Glendale CA 91206-4140 Ph: (818) 601-2217 |
| NPI Number | 1609653682 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Medicare PECOS PAC ID | 8325489826 |
|---|---|
| Medicare Enrollment ID | O20240515002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609653682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Abigail M Stanton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518928589 PECOS PAC ID: 3971576513 Enrollment ID: I20040812001577 |
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