Mavian, Annie A

Mavian, Annie A is an sole proprietor health care provider with primary practice located at 2101 N Waterman Ave , San Bernardino CA 92404-4836. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mavian, Annie A can be contacted via phone (909) 883-8711.

Contact Information

Primary practice address
2101 N Waterman Ave San Bernardino CA 92404-4836
Phone: (909) 883-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A10027 California

Profile Details

NPI number 1760685747
LBN Legal business name Mavian, Annie A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Dec 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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