Individual
MR. GARY GO LABORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3865 JACKSON ST, RIVERSIDE, CA 92503-3919
(951) 352-5490
(951) 352-5368
Mailing address
PO BOX 8188, REDLANDS, CA 92375-1388
(909) 790-5071
(909) 790-5774
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A87019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A870190
—
CA
Enumeration date
09/28/2006
Last updated
11/29/2021
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