Laborada, Gary Go

Laborada, Gary Go is an individual health care provider with primary practice located at 3865 Jackson St , Riverside CA 92503-3919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Laborada, Gary Go can be contacted via phone (951) 352-5490.

Contact Information

Primary practice address
3865 Jackson St Riverside CA 92503-3919
Fax: (951) 352-5368
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A87019 California

Profile Details

NPI number 1114019486
LBN Legal business name Laborada, Gary Go
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114019486 NPPES
California MEDICAID 00A870190

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