Provider Demographics
NPI:1316081375
Name:ABBEY, VICTOR J (OMD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:J
Last Name:ABBEY
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:VICTOR
Other - Middle Name:J
Other - Last Name:ABBEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED ACUPUNCTURI
Mailing Address - Street 1:2118 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 451
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5704
Mailing Address - Country:US
Mailing Address - Phone:310-266-5961
Mailing Address - Fax:310-396-7515
Practice Address - Street 1:1150 YALE ST
Practice Address - Street 2:SUITE 11
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-4738
Practice Address - Country:US
Practice Address - Phone:310-266-5961
Practice Address - Fax:310-396-7515
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3056171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist