San Bernardino County
NPI #1730934415 in Fontana, California
Provider Information
- NPI Number
- 1730934415
- Entity Type
- Organization
- Organization Name
- San Bernardino County
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SAN BERNARDINO COUNTY
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 17, 2024
- Last Updated
- Apr 17, 2024
Practice Location
- Address
- 16888 BASELINE AVE
- City
- Fontana
- State
- California
- ZIP Code
- 92336-2083
- Phone
- (855) 422-8029
Authorized Official
- Name
- AMANDA MELISSA MOFFITT
- Title
- ADMINISTRATIVE SUPERVISOR I
- Phone
- (909) 777-0726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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