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General NPI Number Information
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NPI Number | 1396778742
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Entity Type | Organization
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Legal Business Name | POMA MEDICAL CENTER INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1017 S FAIR OAKS AVE
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City | PASADENA
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State | CA
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Zip | 91105-2621
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Country | US
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Telephone | 626-403-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80648
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City | SAN MARINO
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State | CA
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Zip | 91118-8648
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Country | US
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Telephone | 626-403-9000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA SULINDRO
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Credential |
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Telephone | 626-403-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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