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Fares Elghazi Md Medical Corporation
Specialist in Pomona, California
NPI 1396063574

Fares Elghazi Md Medical Corporation is a Specialist based in Pomona, CA. Fares Elghazi Md Medical Corporation practices in Pomona, CA. The NPI Number for Fares Elghazi Md Medical Corporation is 1396063574 and holds a License No. C042219 (California).

The current practice location address for Fares Elghazi Md Medical Corporation is 1818 N Orange Grove Ave, Pomona, CA and can be reached out via phone at 909-620-7876 and via fax at 909-463-2434.

Location: 1818 N Orange Grove Ave, Pomona, CA, 91767-3028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396063574
Provider Name
Fares Elghazi Md Medical Corporation
Credential
Provider Entity Type
Organization
Address
1818 N Orange Grove Ave, Pomona, CA, 91767-3028
Phone Number
909-620-7876
Fax Number
909-463-2434
Provider Enumeration Date
05/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C422190 05 CA
institution
Provider Business Practice Location Address Details
Address
1818 N Orange Grove Ave
City
Pomona
State
California
Zip
91767-3028
Phone Number
909-620-7876
Fax Number
909-463-2434
person
Provider Business Mailing Address Details
Address
1818 N Orange Grove Ave
City
Pomona
State
California
Zip
91767-3028
Phone Number
909-620-7876
Fax Number
909-463-2434
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C042219 (California)
Definition
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.
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