Individual
DR. NOEL NEPOMUCENO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36450 INLAND VALLEY DR, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP, WILDOMAR, CA 92595-9583
(951) 600-3476
Mailing address
10976 RAGSDALE RD, LOMA LINDA, CA 92354-6545
(909) 900-7831
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A122221
CA
Other
Enumeration date
04/12/2012
Last updated
12/01/2021
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