Individual
FIORELLA M ZAMBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
502 W HOLT AVE, POMONA, CA 91768-3604
(909) 620-8500
(909) 620-5799
Mailing address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(951) 354-3216
(951) 848-9968
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
16142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F94071
MEDICARE UPIN GROUP
CA
01
—
GR0083640/GR0083641
MEDICAL GROUP
CA
01
—
ZZZ19972Z/ZZZ0075Z
MEDICARE GROUP
CA
Enumeration date
05/24/2007
Last updated
12/11/2020
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