Individual
ANTHONY MOUBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 673-9135
Mailing address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/20/2021
Last updated
04/28/2025
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