| Anna P Abalos Md Inc | |
|
701 Pleasant Grove Blvd Suite 125 Roseville CA 95678-6156 | |
| (916) 784-7700 | |
| (916) 784-2252 |
| Full Name | Anna P Abalos Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Pleasant Grove Blvd, Roseville, California |
| Authorized Official Name and Position | Anna P Abalos (PRESIDENT AND PHYSICAN OWNER) |
| Authorized Official Contact | 9164741333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna P Abalos Md Inc 701 Pleasant Grove Blvd Suite 125 Roseville CA 95678-6156 Ph: (916) 784-7700 | Anna P Abalos Md Inc 701 Pleasant Grove Blvd Suite 125 Roseville CA 95678-6156 Ph: (916) 784-7700 |
| NPI Number | 1649586694 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 08/27/2010 |
| Medicare PECOS PAC ID | 8628263035 |
|---|---|
| Medicare Enrollment ID | O20101111000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649586694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A99301 (California) | Primary |
| Provider Name | Anna P Abalos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720200017 PECOS PAC ID: 5193817815 Enrollment ID: I20070824000645 |
| Provider Name | Herma Joey Echavez Bag-ao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821561267 PECOS PAC ID: 2769566041 Enrollment ID: I20200129003104 |
| Provider Name | Zyrene L Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275018897 PECOS PAC ID: 1355695594 Enrollment ID: I20230113000724 |
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