| Lubna Isho Do Inc | |
|
250 W Bonita Ave Ste 150 Pomona CA 91767-1863 | |
| (909) 392-4747 | |
| (909) 392-4767 |
| Full Name | Lubna Isho Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 W Bonita Ave Ste 150, Pomona, California |
| Authorized Official Name and Position | Lubna Isho (OWNER) |
| Authorized Official Contact | 9093924747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubna Isho Do Inc 250 W Bonita Ave Ste 150 Pomona CA 91767-1863 Ph: (909) 392-4747 | Lubna Isho Do Inc 250 W Bonita Ave Ste 150 Pomona CA 91767-1863 Ph: (909) 392-4747 |
| NPI Number | 1851068233 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 5890184139 |
|---|---|
| Medicare Enrollment ID | O20211108002500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851068233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lubna Isho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851350797 PECOS PAC ID: 1456371681 Enrollment ID: I20051201000890 |
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