Individual
GILBERT OMBACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
5434 TREE SPARROW CT, JURUPA VALLEY, CA 91752-4451
(651) 500-2576
Mailing address
5434 TREE SPARROW CT, JURUPA VALLEY, CA 91752-4451
(651) 500-2576
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
746490
CA
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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