Morning Star Family Medicine PC
NPI #1629442785 in Upland, California
Provider Information
- NPI Number
- 1629442785
- Entity Type
- Organization
- Organization Name
- Morning Star Family Medicine PC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 30, 2015
- Last Updated
- Nov 30, 2015
Practice Location
- Address
- 99 N SAN ANTONIO AVE
- Address 2
- SUITE 330
- City
- Upland
- State
- California
- ZIP Code
- 91786-4575
- Phone
- (909) 931-0446
Authorized Official
- Name
- DR. EDWIN L FUENTES, D.O.
- Title
- OWNER/PHYSICIAN
- Phone
- (909) 931-0446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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