Individual
ROGER G ANNABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11705 SLATE AVE, #200, RIVERSIDE, CA 92505
(951) 351-1364
(951) 359-3748
Mailing address
4653 TORREY PINES DR, CHINO HILLS, CA 91709-3388
(909) 994-5987
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A53036
CA
207R00000X
Internal Medicine Physician
A53036
CA
208D00000X
General Practice Physician
A53036
CA
Other
Enumeration date
02/01/2007
Last updated
03/25/2011
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