Provider Demographics
NPI:1942293006
Name:GUREGHIAN, ERIC JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JAMES
Last Name:GUREGHIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3990 CONCOURS
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-7970
Mailing Address - Country:US
Mailing Address - Phone:909-605-8000
Mailing Address - Fax:866-551-0236
Practice Address - Street 1:3990 CONCOURS
Practice Address - Street 2:SUITE 500
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-7970
Practice Address - Country:US
Practice Address - Phone:909-605-8000
Practice Address - Fax:866-551-0236
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2016-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA60427207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G77280Medicare UPIN