ABDUL ANSARI
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1124655170- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 21634 RETREAT PKWY, CORONA, CA, 928836100
- Phone
- (951) 782-3818
- Fax
- (951) 826-8128
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: CA #20A24148
All Addresses
MAILING
3660 ARLINGTON AVE
RIVERSIDE, CA, 925063987