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EVANGELINE AUSTRIA GIMBEL MD NPI 1164493888


NPI Information

NPI: 1164493888
Provider Name: EVANGELINE AUSTRIA GIMBEL, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D1085777

Address:
7950 CHERRY AVE
SUITE 105
FONTANA, CA
ZIP 92336
Phone: (909) 434-1657
Get Directions

Evangeline Austria Gimbel, MD 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 Austria Gimbel, MD NPI is 1164493888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

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 CLIA number assigned to this NPI record is 05D1085777 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 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
1208000000XPediatricsA050667CALIFORNIAYes

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
11164493888MEDICAIDCALIFORNIA

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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