Individual provider · Type 1 NPI

Mina Maximous, DO

Student in an Organized Health Care Education/Training Program · Fontana, CA

NPI number 1609335512 Active

Practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Call (909) 427-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609335512

Mina Maximous, DO's National Provider Identifier is 1609335512, issued on Mar 19, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Dec 6, 2021.