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Contact Information

AVICENNA CLINICAL INC
255 TERRACINA BLVD STE 104B
REDLANDS, CA92373-4870
 Phone: 909-335-5501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AVICENNA CLINICAL INC · (Female)

NPI # 1013853449
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2026
Last updated 05/21/2026 - About 2 weeks ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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