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EVANGELINE A. GIMBEL MD INC. NPI 1861839565


NPI Information

NPI: 1861839565
Provider Name: EVANGELINE A. GIMBEL, MD INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
7950 CHERRY AVE
SUITE 105
FONTANA, CA
ZIP 92336
Phone: (909) 434-1657
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EVANGELINE A. GIMBEL, MD INC. is a pediatrics in Fontana, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. EVANGELINE A. GIMBEL, MD INC. NPI is 1861839565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7950 CHERRY AVE
SUITE 105
FONTANA, CA
ZIP 92336-022
Phone: (909) 434-1657
Fax: (909) 231-6231

The provider's authorized official is Evangeline A Gimbel .
The authorized official title is Owner and has the following contact phone number (909) 434-1657.

The enumeration date for this NPI number is 6/4/2013 and was last updated on 6/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA50667CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A506670MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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