Provider Demographics
NPI:1326651688
Name:NEBI PC
Entity Type:Organization
Organization Name:NEBI PC
Other - Org Name:24HOURDOCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGUSSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-948-6239
Mailing Address - Street 1:8175 LIMONITE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-6120
Mailing Address - Country:US
Mailing Address - Phone:310-948-6239
Mailing Address - Fax:909-803-0067
Practice Address - Street 1:8175 LIMONITE AVE STE A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-6120
Practice Address - Country:US
Practice Address - Phone:310-948-6239
Practice Address - Fax:909-803-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty