Provider Demographics
NPI:1295581809
Name:A&B MEDICAL CLINIC CENTER INC.
Entity type:Organization
Organization Name:A&B MEDICAL CLINIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BABASHOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-667-2011
Mailing Address - Street 1:51 N 5TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3712
Mailing Address - Country:US
Mailing Address - Phone:469-669-2011
Mailing Address - Fax:
Practice Address - Street 1:51 N 5TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3712
Practice Address - Country:US
Practice Address - Phone:469-669-2011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty