Most Relevant Information
Provider Data
| NPI Number: | 1003434275 |
| Provider Name: | ANTONIOUS JONAH ABRAHAM PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 58382 |
Most Important Dates
| Enumeration Date: | 07/13/2020 |
| Last Updated: | 11/10/2023 |
Provider Practice Location
246 W COLLEGE ST FL 3
COVINA
CA
917231910
Practice Location Phone/Fax
| Phone: | 6269151911 |
| Fax: | 6269152668 |
Provider Mailing Location
293 N STATE COLLEGE BLVD APT 3068
ORANGE
CA
928685724
Provider Mailing Phone/Fax
| Phone: | 9783251322 |
| Fax: |