JISHA PANGOTTIL

Nurse Practitioner - Primary Care

Active Individual
NPI: 1871073411

Practice Address

2295 S VINEYARD AVE
Ontario, CA 91761

Phone: (909) 724-3940

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X Yes NP95009215 (CA)

Frequently Asked Questions

NPI 1871073411 is the National Provider Identifier for JISHA PANGOTTIL, a Nurse Practitioner - Primary Care provider located in Ontario, CA. This NPI was enumerated on August 14, 2018.
JISHA PANGOTTIL practices at 2295 S VINEYARD AVE, Ontario, CA 91761.

Quick Facts

NPI
1871073411
Type
Individual
Enumerated
Aug 14, 2018
Last Updated
Aug 14, 2018

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