Mt. Vernon Medical Clinic
NPI #1811222078 in Colton, California
Provider Information
- NPI Number
- 1811222078
- Entity Type
- Organization
- Organization Name
- Mt. Vernon Medical Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 6, 2009
- Last Updated
- Oct 6, 2009
Practice Location
- Address
- 1023 S MOUNT VERNON AVE
- City
- Colton
- State
- California
- ZIP Code
- 92324-4202
- Phone
- (909) 422-8015
Authorized Official
- Name
- DR. J JAMES SHAMLOO, M.D.
- Title
- OWNER
- Phone
- (909) 422-8015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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