# KERRY N GOTT MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306138706
- **Authorized official:** DR. KERRY NORMAN GOTT MD (OWNER)
- **Authorized official phone:** (909) 268-5645

## Contact information

- **Practice address:** 255 E BONITA AVE, POMONA, CA 91767-1923
- **Practice address phone:** (909) 596-7733
- **Practice address fax:** (909) 450-0357
- **Mailing address:** 6023 HELLMAN AVE, ALTA LOMA, CA 91737-2827
- **Mailing address phone:** (909) 268-5645
- **Mailing address fax:** (909) 450-0357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | G65566 | CA | Yes |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 01/17/2013
