Individual
PHILLIP E STRUBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3200
Mailing address
6792 SUGAR PINE ST, CHINO, CA 91710-7443
(951) 741-7076
(909) 902-0523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA16045
—
CA
Enumeration date
05/27/2006
Last updated
12/01/2021
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