Good Shepherd Physician Assistant Corporation
Good Shepherd Physician Assistant Corporation is a Family Medicine Physician in Rancho Cucamonga, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
8283 Grove Ave Ste 102Rancho Cucamonga, CA 91730-3138
Phone: (909) 480-4808
Fax: (909) 480-4843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1598451247 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amgad Alfred — President · (909) 480-4808 |
| NPI enumerated | April 14, 2023 |
| Last updated in NPPES | April 14, 2023 |
| Certification date | April 14, 2023 |
| Mailing address | 12872 Silver Rose Ct, Rancho Cucamonga, CA 91739-8842 |
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