Provider Demographics
NPI:1285229336
Name:SABEEN MUNIB PUR HEALTH
Entity Type:Organization
Organization Name:SABEEN MUNIB PUR HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SABEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-647-5234
Mailing Address - Street 1:23181 LA CADENA DR STE 101
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1479
Mailing Address - Country:US
Mailing Address - Phone:949-647-5234
Mailing Address - Fax:949-288-0286
Practice Address - Street 1:23181 LA CADENA DR STE 101
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1479
Practice Address - Country:US
Practice Address - Phone:949-647-5234
Practice Address - Fax:949-288-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center