| Anas Entabi M.d., Inc | |
|
38925 Trade Center Drive Suite H Palmdale CA 93551-3655 | |
| (661) 274-9900 | |
| (661) 274-8900 |
| Full Name | Anas Entabi M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 38925 Trade Center Drive, Palmdale, California |
| Authorized Official Name and Position | Anas Entabi (OWNER/PROVIDER) |
| Authorized Official Contact | 6612749900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anas Entabi M.d., Inc 38925 Trade Center Drive Suite H Palmdale CA 93551-3655 Ph: (661) 274-9900 | Anas Entabi M.d., Inc 38925 Trade Center Drive Suite H Palmdale CA 93551-3655 Ph: (661) 274-9900 |
| NPI Number | 1457709321 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Medicare PECOS PAC ID | 7012208093 |
|---|---|
| Medicare Enrollment ID | O20160622001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457709321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A94489 (California) | Secondary |
| 207R00000X | Internal Medicine | A89044 (California) | Primary |
| Provider Name | Anas Entabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669465258 PECOS PAC ID: 4082653712 Enrollment ID: I20050912000225 |
| Provider Name | Rosa M Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801919220 PECOS PAC ID: 8426141672 Enrollment ID: I20070905000265 |
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