Individual provider · Type 1 NPI
Kenneth Pomar Rebong, MD
General Practice Physician · San Jose, CA
NPI number
1326054776
Active
Practice location
2350 Mckee Rd, Suite 1
San Jose, CA 95116-1617
Fax (408) 729-2165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | A45813 (CA) |
| General Practice Physician Primary | 208D00000X | A045813 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
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About NPI 1326054776
Kenneth Pomar Rebong, MD's National Provider Identifier is 1326054776, issued on Jul 31, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Jose, CA. The record was last updated on Apr 6, 2016.