MEDICARE: ANNA RABIEGA

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1871066290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA RABIEGA

Provider Business Mailing Address
First Line	:	14547 TITUS ST STE 118
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-4926
Country	:	US
Telephone Number	:	818-359-2513
Fax Number	:

Provider Business Practice Location Address
First Line	:	14547 TITUS ST STE 118
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-4926
Country	:	US
Telephone Number	:	818-359-2513
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2019
Last Update Date	:	01/08/2019

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Directions to “ ANNA RABIEGA ” Practice Location

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