Organization
EUGENE I. EMEMBOLU, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE IKEM EMEMBOLU M.D. (OWNER)
(909) 882-1711
Entity
Organization
Contact information
Practice address
399 E. HIGHLAND AVENUE, SUITE 506, SAN BERNARDINO, CA 92404-3865
(909) 882-1711
(909) 881-1431
Mailing address
399 E. HIGHLAND AVENUE, SUITE 506, SAN BERNARDINO, CA 92404-3865
(909) 882-1711
(909) 881-1431
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G28708
CA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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