Individual
DANIEL TOCHUKWU UMAH-MGBOROGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
400 N PEPPER AVE STE 107, COLTON, CA 92324-1801
(619) 549-2178
Mailing address
400 N PEPPER AVE STE 107, COLTON, CA 92324-1801
(619) 549-2178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56213
CA
Other
Enumeration date
09/01/2018
Last updated
01/06/2022
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