Provider Demographics
NPI:1902404841
Name:LOEB, ALANNAH
Entity type:Individual
Prefix:
First Name:ALANNAH
Middle Name:
Last Name:LOEB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23430 VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-9316
Mailing Address - Country:US
Mailing Address - Phone:909-665-5466
Mailing Address - Fax:
Practice Address - Street 1:41080 CALIFORNIA OAKS RD STE 17
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5749
Practice Address - Country:US
Practice Address - Phone:909-665-5466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker