Individual
DEEPA TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1818 N. ORANGE GROVE AVE, POMONA, CA 91767-3006
(909) 630-7158
(909) 630-7983
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1500
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A106732
CA
208M00000X
Hospitalist Physician
Primary
A106732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1067320
—
CA
Enumeration date
03/17/2009
Last updated
10/25/2018
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