Provider Demographics
NPI:1962119602
Name:DRABINSKY, MORRIS NMN (MD)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:NMN
Last Name:DRABINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 260187
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91426-0187
Mailing Address - Country:US
Mailing Address - Phone:818-437-3935
Mailing Address - Fax:818-789-6147
Practice Address - Street 1:15530 OTSEGO ST.
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1515
Practice Address - Country:US
Practice Address - Phone:818-437-3935
Practice Address - Fax:818-789-6147
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA22052207RC0000X, 209800000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine