Individual
DR. MICHAEL JOEL CONSOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 W BONITA AVE STE 100, POMONA, CA 91767-1866
(909) 623-3428
(909) 622-1923
Mailing address
210 W BONITA AVE STE 100, POMONA, CA 91767-1866
(909) 623-3428
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20A15277
CA
Other
Enumeration date
06/20/2012
Last updated
07/21/2022
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