Jaime Gonzalez, M.d., Inc. | |
350 Vinton Ave Suite 204 Pomona CA 91767-3000 | |
(909) 622-3353 | |
(909) 622-3833 |
Full Name | Jaime Gonzalez, M.d., Inc. |
---|---|
Speciality | Family Medicine |
Location | 350 Vinton Ave, Pomona, California |
Authorized Official Name and Position | Jaime Gonzalez (PRESIDENT) |
Authorized Official Contact | 9096223353 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jaime Gonzalez, M.d., Inc. 350 Vinton Ave Suite 204 Pomona CA 91767-3000 Ph: (909) 622-3353 | Jaime Gonzalez, M.d., Inc. 350 Vinton Ave Suite 204 Pomona CA 91767-3000 Ph: (909) 622-3353 |
NPI Number | 1588730162 |
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Provider Enumeration Date | 11/27/2006 |
Last Update Date | 10/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588730162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A87328 (California) | Primary |
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