Ultimate Medical Practice a Professional Corporation
NPI #1962659573 in Highland, California
Provider Information
- NPI Number
- 1962659573
- Entity Type
- Organization
- Organization Name
- Ultimate Medical Practice a Professional Corporation
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 26, 2008
- Last Updated
- Mar 4, 2009
Practice Location
- Address
- 3654 HIGHLAND AVE
- Address 2
- SUITE 15
- City
- Highland
- State
- California
- ZIP Code
- 92346-2614
- Phone
- (909) 864-1006
Authorized Official
- Name
- DR. RICHARD KANGAH
- Title
- MEDICAL DIRECTOR/PRESIDENT
- Phone
- (909) 864-1006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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