Concentra Primary Care of California

NPI #1528534112 in Chino, California

Provider Information

NPI Number: 1528534112
Entity Type: Organization
Organization Name: Concentra Primary Care of California
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 15341 CENTRAL AVE
City: Chino
State: California
ZIP Code: 91710-7608
Phone: (909) 628-6011

Authorized Official

Name: JOHN ANDERSON
Title: VP
Phone: (972) 364-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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