Norma Bachoura MD INC
NPI #1336302843 in San Dimas, California
Provider Information
- NPI Number
- 1336302843
- Entity Type
- Organization
- Organization Name
- Norma Bachoura MD INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jul 3, 2008
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 150 W FOOTHILL BLVD
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-1102
- Phone
- (909) 599-9925
Authorized Official
- Name
- KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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