Most Relevant Information
Provider Data
| NPI Number: | 1003676958 |
| Provider Name: | GIAN CHRISTIAN TONGSON IGNACIO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2024 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
2101 N WATERMAN AVE
SAN BERNARDINO
CA
924044836
Practice Location Phone/Fax
| Phone: | 8182822085 |
| Fax: |
Provider Mailing Location
2101 N WATERMAN AVE
SAN BERNARDINO
CA
924044836
Provider Mailing Phone/Fax
| Phone: | 8182822085 |
| Fax: |