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Jean-Jacques Abitbol M D A Medical Corporation

Specialist

Other Service Providers

5395 Ruffin Rd Ste 102, San Diego, CA 92123-1338

PECOS Enrollment

Based on the most recent information from CMS, provider Jean-Jacques Abitbol M D A Medical Corporation does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1487803409
Provider Type
Organization
Full Name
Jean-Jacques Abitbol M D A Medical Corporation

Subpart
No
Enumeration Date
9/15/2008
Last Updated
10/3/2018

Contact Information

Practice Location

5395 Ruffin Rd Ste 102, San Diego, CA 92123-1338

(858) 874-2306

(858) 874-2356

Mailing Location

5395 Ruffin Rd Ste 102, San Diego, CA 92123-1338

(858) 874-2306

(858) 874-2356

Authorized Official

Abitbol, Jean-Jacques (Ceo)

(858) 874-2306

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License G55587 California

Jean-Jacques Abitbol M D A Medical Corporation

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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Thompson, Jillian Leigh

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