# JOEL OMBAO INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOEL OMBAO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568850576
- **Authorized official:** JOEL G OMBAO NP (PRESIDENT)
- **Authorized official phone:** (909) 800-0883

## Contact information

- **Practice address:** 1121 AMBERWOOD CT, SAN BERNARDINO, CA 92407-4126
- **Practice address phone:** (909) 800-0883
- **Mailing address:** 1121 AMBERWOOD CT, SAN BERNARDINO, CA 92407-4126
- **Mailing address phone:** (909) 800-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 22676 | CA | Yes |

## Other

- **Enumeration date:** 12/26/2014
- **Last updated:** 12/26/2014