Alta Medical Clinic INC of California

NPI #1316661549 in Rancho Cucamonga, California

Provider Information

NPI Number
1316661549
Entity Type
Organization
Organization Name
Alta Medical Clinic INC of California
Primary Specialty
General Practice
Enumeration Date
Sep 30, 2022
Last Updated
Sep 30, 2022

Practice Location

Address
9836 FOOTHILL BLVD STE 610
ZIP Code
91730-3660
Phone
(909) 236-0338

Authorized Official

Name
PETERSON GO
Title
PRESIDENT
Phone
(909) 236-0338

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - Behavioral Neurology & NeuropsychiatryBehavioral Neurology & Neuropsychiatry
General Practice

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