Centinela Valley Ipa Medical Group
NPI #1164552378 in San Dimas, California
Provider Information
- NPI Number
- 1164552378
- Entity Type
- Organization
- Organization Name
- Centinela Valley Ipa Medical Group
- Primary Specialty
- Contractor
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 955 OVERLAND CT FL 2
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-1718
- Phone
- (909) 971-6717
Authorized Official
- Name
- DR. ANITHA MITCHELL
- Title
- PRESIDENT
- Phone
- (310) 673-9499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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