Individual
CORY AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
197 EAST CAROLINE ST., SUITE 1400, SAN BERNARDINO, CA 92408
(909) 558-5898
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19368
CA
Other
Enumeration date
09/21/2007
Last updated
09/06/2019
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