Provider Demographics
NPI:1194290445
Name:ABELLON, FRANZ ANDREI
Entity type:Individual
Prefix:MR
First Name:FRANZ
Middle Name:ANDREI
Last Name:ABELLON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16812 LYNN LN STE D1
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3951
Mailing Address - Country:US
Mailing Address - Phone:818-943-5387
Mailing Address - Fax:
Practice Address - Street 1:16812 LYNN LN STE D1
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3951
Practice Address - Country:US
Practice Address - Phone:818-943-5387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer