BENCY ABRAHAM, D.O.

NPI 1942942602 Active Family Medicine

Quick Facts

NPI Number

1942942602

Type

Individual (NPI-1)

Credential

D.O.

Status

Active

Enumeration Date

2022-04-12

Last Updated (NPPES)

2026-10-22

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	20A25387 CA

Other Taxonomies

Family Medicine — License W1128

Practice Address

26732 COWN VALLEY PKWY, SUITE 170
MISSION VIEJO, CA 92691

Phone: 949-364-7246

Mailing Address

PO BOX 746079
ATLANTA, GA 303746079

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.