Provider Demographics
NPI:1063549491
Name:ABRAMS, RUBEN B (MD)
Entity type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:B
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RUBEN
Other - Middle Name:B
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9301 WILSHIRE BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-6134
Mailing Address - Country:US
Mailing Address - Phone:310-276-7777
Mailing Address - Fax:310-388-5258
Practice Address - Street 1:9301 WILSHIRE BLVD STE 402
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6134
Practice Address - Country:US
Practice Address - Phone:310-276-7777
Practice Address - Fax:310-388-5258
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41164208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1063549491Medicaid
CA1063549491Medicaid