Provider Demographics
NPI:1417215328
Name:ANABI MEDICAL CORP
Entity type:Organization
Organization Name:ANABI MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ANABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-629-7878
Mailing Address - Street 1:160 E ARTESIA ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2900
Mailing Address - Country:US
Mailing Address - Phone:909-629-7878
Mailing Address - Fax:909-629-2850
Practice Address - Street 1:933 E DEODAR ST
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-1309
Practice Address - Country:US
Practice Address - Phone:909-629-7878
Practice Address - Fax:909-629-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61382207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty