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Individual

ANTHONY M CIABARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
381 E IMPERIAL HIGHWAY, FULLERTON, CA 92835
(714) 879-7200
(714) 879-3010
Mailing address
381 E. IMPERIAL HIGHWAY, FULLERTON, CA 92835
(714) 879-7200
(714) 879-3010

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G86071
CA
2084N0600X
Clinical Neurophysiology Physician
G86071
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G86071A
CA
Enumeration date
11/20/2006
Last updated
06/24/2015
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