Jisha Pangottil
Jisha Pangottil is a Primary Care Nurse Practitioner in Ontario, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
2295 S Vineyard AveOntario, CA 91761-7925
Phone: (909) 724-3940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence NP95009215 (CA) |
|---|
Record details
| NPI number | 1871073411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 14, 2018 |
| Last updated in NPPES | August 14, 2018 |
| Mailing address | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
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