Organization
JOEL OMBAO INC.
Active
Other names
JOEL OMBAO
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL G OMBAO NP (PRESIDENT)
(909) 800-0883
Entity
Organization
Contact information
Practice address
1121 AMBERWOOD CT, SAN BERNARDINO, CA 92407-4126
(909) 800-0883
Mailing address
1121 AMBERWOOD CT, SAN BERNARDINO, CA 92407-4126
(909) 800-0883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22676
CA
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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