Marlboro Cancer Screening Center INC
Clinic/Center, Genetics in Loma Linda, CA. Organization (NPI-2).
NPI number1235797044
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1235797044
- Entity type
- Organization (NPI-2)
- Legal business name
- Marlboro Cancer Screening Center INC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2019
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QG0250X | Clinic/Center, Genetics | – | – | Yes |
Other names
- Marlboro Cancer Screening Center INC (Doing Business As)
Practice location
11340 Mountain View Ave Ste BLoma Linda, CA 92354-3858
Phone 888-267-9605 · Fax 909-334-1314
Mailing address
14164 Mountain AveChino, CA 91710-1128
Phone 909-927-8296 · Fax 909-334-1314
Authorized official
Dharmakumar Wilson Gomer
Medical Director
9097995445
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