Park Sierra Medical Clinic INC
NPI #1184833428 in Colton, California
Provider Information
- NPI Number
- 1184833428
- Entity Type
- Organization
- Organization Name
- Park Sierra Medical Clinic INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 22, 2007
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 1023 S MOUNT VERNON AVE STE A
- City
- Colton
- State
- California
- ZIP Code
- 92324-4202
- Phone
- (909) 533-4443
Authorized Official
- Name
- ANIL DONALD MALL, MD
- Title
- OWNER
- Phone
- (909) 533-4443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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