Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mickey Ellis Abraham, MD, MS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609403732

Dr. Mickey Ellis Abraham, MD, MS is a Student in an Organized Health Care Education/Training Program in LA Jolla, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

9500 Gilman Dr
LA Jolla, CA 92093-5004
Phone: (619) 543-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609403732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021

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