Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY YDEL ABENGANA
ActiveJERRY YDEL ABENGANA is a 376G00000X healthcare provider located in RANCHO CORDOVA, California. NPI 1508647884 is currently active in the NPPES registry. Verify at CMS.
376G00000X · RANCHO CORDOVA, CA
Registration Details
- NPI Number
- 1508647884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2023 (2.876201308053 yrs)
- Last Updated
- Oct 11, 2023
- License
-
342701204 (CA)
Practice Information
- Address
-
3469 DURELLO CIRRANCHO CORDOVA, CA, 956706913Browse CA providers · Browse ZIP 95670
- Phone
- 9164763555
- Primary Specialty
-
376G00000X
376G00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.