Provider Demographics
NPI:1649434101
Name:BATHAN-GERONA, ALMA CHRISTINE (MD)
Entity type:Individual
Prefix:DR
First Name:ALMA
Middle Name:CHRISTINE
Last Name:BATHAN-GERONA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALMA
Other - Middle Name:CHRISTINE
Other - Last Name:GERONA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:28302 LOOKOUT POINT LN
Mailing Address - Street 2:
Mailing Address - City:ROMOLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92585-3175
Mailing Address - Country:US
Mailing Address - Phone:951-246-3495
Mailing Address - Fax:
Practice Address - Street 1:28302 LOOKOUT POINT LN
Practice Address - Street 2:
Practice Address - City:ROMOLAND
Practice Address - State:CA
Practice Address - Zip Code:92585-3175
Practice Address - Country:US
Practice Address - Phone:951-246-3495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89560207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine