Individual
DR. SRI G GORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 ROYALTY DR, POMONA, CA 91767-3021
(909) 865-9890
(909) 865-9697
Mailing address
1910 ROYALTY DR, POMONA, CA 91767-3021
(909) 865-9889
(909) 865-9724
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A73742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A737220
—
CA
01
—
A73742
OTHER
—
Enumeration date
08/07/2006
Last updated
11/09/2020
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