Montclair Vida Health Clinic PC
NPI #1699034827 in Montclair, California
Provider Information
- NPI Number
- 1699034827
- Entity Type
- Organization
- Organization Name
- Montclair Vida Health Clinic PC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 8, 2012
- Last Updated
- Jun 7, 2018
Practice Location
- Address
- 5404 MORENO ST
- Address 2
- SUITE N&P
- City
- Montclair
- State
- California
- ZIP Code
- 91763
- Phone
- (909) 949-4400
Authorized Official
- Name
- GINGER L LEON, D.O.
- Title
- MEDICAL DIRECTOR
- Phone
- (909) 949-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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