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NPI Code Detail

MEDICARE: ANABEL CORONA

MEDICARE: ANABEL CORONA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker1041C0700XCA

General Provider Information

NPI Number : 1013868322
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANABEL CORONA
Provider Business Mailing Address
First Line : PO BOX 3456
Second Line :
City : CRESTLINE
State : CA
Zip : 92325-3456
Country : US
Telephone Number : 909-388-1239
Fax Number :
Provider Business Practice Location Address
First Line : 1441 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4747
Country : US
Telephone Number : 909-388-1239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ ANABEL CORONA ” Practice Location

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