Individual provider · NPI-1

Roger G Annabel, MD

Family Medicine, Adult Medicine · Riverside, CA

NPI number1760529176
StatusActive
Last updated in NPPESMar 25, 2011

Details

NPI
1760529176
Entity type
Individual (NPI-1)
Name
Roger G Annabel
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 1, 2007
Last updated
Mar 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult MedicineA53036CAYes
208D00000X General PracticeA53036CA
207R00000X Internal MedicineA53036CA

Practice location

11705 Slate Ave
#200
Riverside, CA 92505

Phone 951-351-1364 · Fax 951-359-3748

Mailing address

4653 Torrey Pines Dr
Chino Hills, CA 91709-3388

Phone 909-994-5987

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