Provider Demographics
NPI:1700760618
Name:RABANI, NABILLA Z (CA BBC)
Entity type:Individual
Prefix:MRS
First Name:NABILLA
Middle Name:Z
Last Name:RABANI
Suffix:
Gender:F
Credentials:CA BBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31700 RAILROAD CANYON RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-9453
Mailing Address - Country:US
Mailing Address - Phone:714-312-8664
Mailing Address - Fax:
Practice Address - Street 1:31700 RAILROAD CANYON RD STE 2
Practice Address - Street 2:
Practice Address - City:CANYON LAKE
Practice Address - State:CA
Practice Address - Zip Code:92587-9453
Practice Address - Country:US
Practice Address - Phone:714-312-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL9960174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty