Healthcare Provider Details

I. General information

NPI: 1548599509
Provider Name (Legal Business Name): GEBERT HEALTHCARE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 12/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25612 BARTON RD STE 288
LOMA LINDA CA
92354-3110
US

IV. Provider business mailing address

25612 BARTON RD STE 288
LOMA LINDA CA
92354-3110
US

V. Phone/Fax

Practice location:
  • Phone: 909-621-7941
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: JOHN W GEBERT
Title or Position: CEO PRESIDENT
Credential:
Phone: 909-621-7941