Fred Albert Gattas MD

NPI 1063790491 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063790491
Gender Male
Enumeration Date 08/02/2011
Last Updated 08/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2440 SAN ANTONIO CRES E
UPLAND CA, 91784-1143, US
Phone (909) 982-7239
Fax
Business Location
2440 SAN ANTONIO CRES E
UPLAND CA, 91784-1143, US
Phone (909) 982-7239
Fax
Toxanomy
Taxonomy Code 171M00000X
License State California
License Number CFE15854
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According to our database, Fred Albert Gattas MD NPI is 1063790491, taxonomy code is 171M00000X and license number is CFE15854, license state is located at California. Fred Albert Gattas MD physically located at 2440 San Antonio Cres E, Upland CA, 91784-1143. NPI Number Fred Albert Gattas MD has the Individual type.

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1063790491 NPI number is provided on an as is basis without warranty of any kind. 1063790491 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Albert Gattas MD are for informational purposes only.