| NPI | 1033139936 |
|---|---|
| Doing Business As | ALTA LOMA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD J KURTH CEO 909-980-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA FNP14159) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-11-16 |