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Organization
EDMUND GORNAY PT INC
Active
Organization
EDMUND GORNAY PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA ARENAS (OFFICE MANAGER)
(909) 799-9944
Entity
Organization
Contact information
Practice address
11326 MOUNTAIN VIEW AVE, SUITE A, LOMA LINDA, CA 92354-3817
(909) 799-9944
(909) 799-1828
Mailing address
11326 MOUNTAIN VIEW AVE, SUITE A, LOMA LINDA, CA 92354-3817
(909) 799-9944
(909) 799-1828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22638
LICENSE
CA
Enumeration date
09/18/2014
Last updated
10/13/2014
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