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Raymond Gomberg, M.D.

Pediatrics in La Mirada, CA. Individual provider (NPI-1).

NPI number1679683080
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679683080
Entity type
Individual (NPI-1)
Name
Raymond Gomberg
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsC 23710CAYes

Practice location

15082 Imperial Hwy
La Mirada, CA 90638-1301

Phone 562-947-6600 · Fax 562-947-8907

Mailing address

15082 Imperial Hwy
La Mirada, CA 90638-1301

Phone 562-947-6600 · Fax 562-947-8907

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