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JENNIFER COBANOV MD PROFESSIONAL CORPORATION NPI 1619622636


NPI Information

NPI: 1619622636
Provider Name: JENNIFER COBANOV, MD PROFESSIONAL CORPORATION
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
10459 MOUNTAIN VIEW AVE STE F
LOMA LINDA, CA
ZIP 92354
Phone: (909) 647-8783
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JENNIFER COBANOV, MD PROFESSIONAL CORPORATION is a pediatrics in Loma Linda, 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. JENNIFER COBANOV, MD PROFESSIONAL CORPORATION NPI is 1619622636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10459 MOUNTAIN VIEW AVE STE F
LOMA LINDA, CA
ZIP 92354-033
Phone: (909) 647-8783

The provider's authorized official is Jennifer Cobanov .
The authorized official title is Ceo/medical Director and has the following contact phone number (909) 647-8783.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 2/17/2022.


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
1208000000XPediatricsYes

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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