San Dimas Family Care Inc.
NPI #1104856947 in San Dimas, California
Provider Information
- NPI Number
- 1104856947
- Entity Type
- Organization
- Organization Name
- San Dimas Family Care Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Dec 11, 2008
Practice Location
- Address
- 150 W. FOOTHILL BLVD.
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-1102
- Phone
- (909) 599-9921
Authorized Official
- Name
- CLIFFORD L. SUSSMAN, MD
- Title
- OWNER/PRESIDENT
- Phone
- (909) 599-9921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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