Doctor Name: | DR. MARC HOWARD SHOMER |
NPI Number: | 1457457483 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D. |
License Number: | A95190 |
Business Practice Address: | 820 N Mountain Ave Ste 102 Upland, CA - 917864163 |
Business Phone Number: | 9099819800 |
Business Fax Number: | 9099463937 |
Mailing Address: | 4195 Chino Hills Pkwy # 514, CHINO HILLS |
State: | CA |
Postal Code: | 917092618 |
Phone Number: | 9099819800 |
Fax Number: | 9099463937 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A95190 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |