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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANYA LUMBANGAOL

Active Sole Proprietor

TANYA LUMBANGAOL is a Physician Assistant healthcare provider located in FONTANA, California. NPI 1972018513 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FONTANA, CA

Registration Details

NPI Number
1972018513
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2017 (8.6883472073737 yrs)
Last Updated
Aug 23, 2018
Licenses
PA115 (GU)
PA55197 (CA)
Sole Proprietor
Yes

Practice Information

Address
6768 WINTER NIGHT CT
FONTANA, CA, 923361417
Browse CA providers · Browse ZIP 92336
Phone
9097822052
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FONTANA, CA

Name Credential NPI
MR. VICTOR RAMIREZ PHYSICIANS ASSISTANT 1851359327
MRS. CATHERINE L STOTZ PHYSICIAN ASSISTANT 1487721221
WILLIAM A WEBB PA 1497822241
RANDALL D SELLON PA 1023185873
MICHAEL L HICKS PA 1700953544
JOHNETTA BROOKS PA 1619044450
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.