Individual provider · NPI-1

Emma Noemi Balderas Cook, PA-C

Physician Assistant, Medical · Pomona, CA

NPI number1124281746
StatusActive
Last updated in NPPESJul 3, 2008

Details

NPI
1124281746
Entity type
Individual (NPI-1)
Name
Emma Noemi Balderas Cook
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2008
Last updated
Jul 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA19711CAYes

Practice location

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043

Phone 909-865-5777

Mailing address

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043

Phone 909-865-5777

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