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
Phone: (951) 352-5490
Fax: (951) 352-5368
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114019486 | NPPES |
California | MEDICAID | 00A870190 |
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