Montana Affinity Clinic LLC
NPI #1205435864 in Upland, California
Provider Information
- NPI Number
- 1205435864
- Entity Type
- Organization
- Organization Name
- Montana Affinity Clinic LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 23, 2020
- Last Updated
- Jun 26, 2025
Practice Location
- Address
- 820 N MOUNTAIN AVE STE 103
- City
- Upland
- State
- California
- ZIP Code
- 91786-0000
- Phone
- (909) 236-5575
Authorized Official
- Name
- DR. JOSEPHINE BAISA MONTANA, M.D.
- Title
- OWNER
- Phone
- (909) 236-5575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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