Individual
DEDRICK ALIGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E HIGHLAND AVE STE 351, SAN BERNARDINO, CA 92404-3830
(909) 475-8611
Mailing address
16502 CASA GRANDE AVE UNIT 412, FONTANA, CA 92336-6110
(609) 280-9899
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
95021610
CA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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