FARES ELGHAZI MD MEDICAL CORPORATION NPI 1396063574

NPI Information

FARES ELGHAZI MD MEDICAL CORPORATION is a specialist in Pomona, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FARES ELGHAZI MD MEDICAL CORPORATION NPI is 1396063574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1818 N ORANGE GROVE AVE
SUITE 300
POMONA, CA
ZIP 91767-028
Phone: (909) 620-7876
Fax: (909) 463-2434

The provider's authorized official is Fares Elghazi .
The authorized official title is Owner and has the following contact phone number (909) 620-7876.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 6/18/2010.

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:

Other Identifiers

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