Organization
EVANGELINE A. GIMBEL, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE A GIMBEL M.D. (OWNER)
(909) 434-1657
Entity
Organization
Contact information
Practice address
7950 CHERRY AVE, SUITE 105, FONTANA, CA 92336-4022
(909) 434-1657
(909) 231-6231
Mailing address
7950 CHERRY AVE, SUITE 105, FONTANA, CA 92336-4022
(909) 434-1657
(909) 231-6231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A50667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A506670
—
CA
Enumeration date
06/04/2013
Last updated
06/04/2013
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