Southern California Injury Treatment Center, LLC
NPI #1558676627 in Chino, California
Provider Information
- NPI Number
- 1558676627
- Entity Type
- Organization
- Organization Name
- Southern California Injury Treatment Center, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Aug 13, 2010
- Last Updated
- Aug 13, 2010
Practice Location
- Address
- 14365 PIPELINE AVE
- City
- Chino
- State
- California
- ZIP Code
- 91710-5642
- Phone
- (909) 364-8111
Authorized Official
- Name
- DR. CLYDE O. HARRIS III, M.D.
- Title
- ORTHOPEDIC SURGEON
- Phone
- (909) 364-8111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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