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Individual

ANITA W HIBLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
933 CENTINELA AVE STE B, INGLEWOOD, CA 90302-1501
(210) 677-5090
(310) 677-7302
Mailing address
5920 S KINGS RD, LOS ANGELES, CA 90056-1627
(323) 299-3895
(323) 299-2130

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C36494
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C364940
CA
Enumeration date
04/17/2007
Last updated
05/31/2013
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