Organization
ANAS ENTABI M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAS ENTABI MD (OWNER/PROVIDER)
(661) 274-9900
Entity
Organization
Contact information
Practice address
38925 TRADE CENTER DRIVE, SUITE H, PALMDALE, CA 93551-3655
(661) 274-9900
(661) 274-8900
Mailing address
38925 TRADE CENTER DRIVE, SUITE H, PALMDALE, CA 93551-3655
(661) 274-9900
(661) 274-8900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A94489
CA
207R00000X
Internal Medicine Physician
Primary
A89044
CA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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