Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jorge Gamboa

Individual provider Rehabilitation Practitioner · NPI 1902322696

Jorge Gamboa is a Rehabilitation Practitioner in Covina, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1126 N Grand Ave Ste D
Covina, CA 91724-1552
Phone: (626) 967-1667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1902322696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022
Mailing address1126 N Grand Ave Ste D, Covina, CA 91724-1552

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