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NPI Code Detail

MEDICARE: ABSOLUTE HEALTH MEDICAL SPA

MEDICARE: ABSOLUTE HEALTH MEDICAL SPA
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
1207R00000XInternal Medicine PhysicianA70197CA

General Provider Information

NPI Number : 1992038285
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABSOLUTE HEALTH MEDICAL SPA
Provider Business Mailing Address
First Line : 4820 BUSINESS CENTER DR
Second Line : SUITE 110
City : FAIRFIELD
State : CA
Zip : 94534-1696
Country : US
Telephone Number : 707-864-0189
Fax Number : 707-864-0190
Provider Business Practice Location Address
First Line : 4820 BUSINESS CENTER DR
Second Line : SUITE 110
City : FAIRFIELD
State : CA
Zip : 94534-1696
Country : US
Telephone Number : 707-864-0189
Fax Number : 707-864-0190
Authorized Official
Title or Position : PRESIDENT
Name : ANJALI CHANANA
Credential : M.D.
Telephone Number : 707-864-0189
Provider Enumeration Date : 09/17/2009
Last Update Date : 09/23/2009

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Directions to “ABSOLUTE HEALTH MEDICAL SPA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.