JORGE GAMBOA NPI 1902322696

NPI Information

NPI: 1902322696
Provider Name: JORGE GAMBOA
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
1126 N GRAND AVE STE D
COVINA, CA
ZIP 91724
Phone: (626) 967-1667
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Jorge Gamboa is a rehabilitation practitioner in Covina, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Jorge Gamboa NPI is 1902322696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1126 N GRAND AVE STE D
COVINA, CA
ZIP 91724-552
Phone: (626) 967-1667

The enumeration date for this NPI number is 8/15/2017 and was last updated on 1/24/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

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: 11/14/2023

NPI Synchronization or Removal

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