Gimbel, Evangeline Austria
Gimbel, Evangeline Austria is an sole proprietor health care provider with primary practice located at 7950 Cherry Ave Suite 105, Fontana CA 92336-4022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gimbel, Evangeline Austria can be contacted via phone (909) 434-1657.Contact Information
Primary practice address
7950 Cherry Ave Suite 105
Fontana CA 92336-4022
Phone: (909) 434-1657
Fax: (909) 231-6231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A050667 | California |
Profile Details
| NPI number | 1164493888 |
|---|---|
| LBN Legal business name | Gimbel, Evangeline Austria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jun 4th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164493888 | NPPES |
| California | MEDICAID | 1164493888 |
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