Organization · Type 2 NPI

Gospha G, Campbell MD Inc

Adult Medicine Physician · San Bernardino, CA

NPI number 1215182803 Active

Practice location

1850 S Waterman Ave # F
San Bernardino, CA 92408-2877

Fax (909) 890-9394

Mailing address

1850 S Waterman Ave, # F
San Bernardino, CA 92408-2464

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XA 102029 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1215182803

Gospha G, Campbell MD Inc's National Provider Identifier is 1215182803, issued on Nov 24, 2008. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 15, 2012.