Organization
JMK MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NKOLI ANIGBOGU MD (MEDICAL DIRECTOR)
(909) 352-6655
Entity
Organization
Contact information
Practice address
1050 KENDALL DR STE F, SAN BERNARDINO, CA 92407-4125
(909) 352-6655
(909) 352-6770
Mailing address
6855 PORTOFINO CT, RANCHO CUCAMONGA, CA 91701-8637
(909) 352-6655
(909) 352-6770
Taxonomy
Speciality
Code
Description
License number
State
2083C0008X
Clinical Informatics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
10/06/2022
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