Individual
GINA HABEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7172 MAGNOLIA AVE, RIVERSIDE, CA 92504-3804
(951) 788-2224
Mailing address
3400 BAHIA PL, RIVERSIDE, CA 92507-4023
(310) 619-7370
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
02/05/2024
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