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NPI Code Detail

MEDICARE: NATALIA RZESLAWSKI-GAMBOA

MEDICARE:   NATALIA  RZESLAWSKI-GAMBOA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1477494854
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA RZESLAWSKI-GAMBOA
Provider Business Mailing Address
First Line : 5451 WALNUT AVE
Second Line :
City : CHINO
State : CA
Zip : 91710-2609
Country : US
Telephone Number : 909-464-8600
Fax Number :
Provider Business Practice Location Address
First Line : 5451 WALNUT AVE
Second Line :
City : CHINO
State : CA
Zip : 91710-2609
Country : US
Telephone Number : 909-464-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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Directions to “ NATALIA RZESLAWSKI-GAMBOA ” Practice Location

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