Individual
ANNE OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S G ST, SAN BERNARDINO, CA 92410-3320
(909) 382-7100
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
(909) 651-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A17729
CA
Other
Enumeration date
04/09/2018
Last updated
10/25/2021
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