Organization
JENNIFER COBANOV, MD PROFESSIONAL CORPORATION
Active
Other names
My Pediatric Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER COBANOV MD (CEO/MEDICAL DIRECTOR)
(909) 647-8783
Entity
Organization
Contact information
Practice address
414 TENNESSEE ST STE K1, REDLANDS, CA 92373-8152
(909) 531-4427
(909) 288-4731
Mailing address
PO BOX 902, LOMA LINDA, CA 92354-0902
(909) 647-8783
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
10/03/2024
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