Gamboa, Bryant

Gamboa, Bryant is an individual health care provider with primary practice located at 11262 Campus Street West Hall L, Loma Linda CA 92350. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Gamboa, Bryant can be contacted via phone (909) 558-4923.

Contact Information

Primary practice address
11262 Campus Street West Hall L Loma Linda CA 92350
Phone: (909) 558-4923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95018800 California

Profile Details

NPI number 1679193163
LBN Legal business name Gamboa, Bryant
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2020
Last updated Mar 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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