Via Verde Medical Group, INC
NPI #1639109713 in San Dimas, California
Provider Information
- NPI Number
- 1639109713
- Entity Type
- Organization
- Organization Name
- Via Verde Medical Group, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Feb 19, 2013
Practice Location
- Address
- 1125 VIA VERDE
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-4400
- Phone
- (909) 592-9778
Authorized Official
- Name
- STEVEN E DAVIS, DO
- Title
- OWNER
- Phone
- (909) 592-9778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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