Individual
BUSHRA ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1421 E 17TH ST, SANTA ANA, CA 92705-8505
(714) 922-4100
Mailing address
1421 E 17TH ST, SANTA ANA, CA 92705-8505
(714) 922-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A179317
CA
Other
Enumeration date
03/21/2019
Last updated
07/18/2024
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