Individual provider · NPI-1

Katerina-Elena C Ananiades, MD

Family Medicine · Fontana, CA

NPI number1669602132
StatusActive
Last updated in NPPESDec 6, 2021

Details

NPI
1669602132
Entity type
Individual (NPI-1)
Name
Katerina-Elena C Ananiades
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2009
Last updated
Dec 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA118992CAYes

Practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Phone 909-427-7132

Mailing address

9961 Sierra Ave
Fontana, CA 92335-6720

Phone 909-427-7132

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