Provider Demographics
NPI:1740389444
Name:ABJELINA, ANNALISA ARGENTE (MD)
Entity Type:Individual
Prefix:
First Name:ANNALISA
Middle Name:ARGENTE
Last Name:ABJELINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27699 JEFFERSON AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2661
Mailing Address - Country:US
Mailing Address - Phone:951-252-8588
Mailing Address - Fax:951-252-8589
Practice Address - Street 1:36320 INLAND VALLEY DR
Practice Address - Street 2:SUITE 203
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-7512
Practice Address - Country:US
Practice Address - Phone:951-200-2220
Practice Address - Fax:951-200-2221
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA56211208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A562110OtherMEDI-CAL PROVIDER NUMBER
CA00A562110OtherMEDI-CAL PROVIDER NUMBER