Pineda, Elmer B

Pineda, Elmer B is an individual health care provider with primary practice located at 210 W Bonita Ave 100, Pomona CA 91767-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pineda, Elmer B can be contacted via phone (909) 623-3428.

Contact Information

Primary practice address
210 W Bonita Ave 100 Pomona CA 91767-1865
Fax: (909) 622-1923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A62380 California

Profile Details

NPI number 1194712570
LBN Legal business name Pineda, Elmer B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 15th, 2014 - about 10 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 1194712570 NPPES
California MEDICAID 00A623800

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