Individual provider · Type 1 NPI
Oscar R. Gongora
Driver · Lemon Grove, CA
NPI number
1386843860
Active
Practice location
3231 Buena Vista Ave, Suite # A
Lemon Grove, CA 91945-2413
Fax (619) 460-1743
Mailing address
PO Box 1339
Lemon Grove, CA 91946-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | N3655341 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Lemon Grove
About NPI 1386843860
Oscar R. Gongora's National Provider Identifier is 1386843860, issued on Jul 13, 2007. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lemon Grove, CA. The record was last updated on Jul 13, 2007.