Provider Demographics
NPI:1528946803
Name:AUGUSTINE, ABIGAIL G (MS, CGC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:G
Last Name:AUGUSTINE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10352 COWAN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-1555
Mailing Address - Country:US
Mailing Address - Phone:714-679-7970
Mailing Address - Fax:
Practice Address - Street 1:10352 COWAN HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-1555
Practice Address - Country:US
Practice Address - Phone:714-679-7970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS