CENTINELA VALLEY IPA MEDICAL GROUP

SAN DIMAS, CA
NPI1164552378
Entity TypeOrganization
Authorized ContactANITHA MITCHELL
President
310-673-9499
Organization Subpart ?No
Primary Taxonomy171W00000X Contractor
(Licence: CA  171W00000X)
Enumeration Date2007-03-06
Last Update Date2020-08-22
Business Address
CENTINELA VALLEY IPA MEDICAL GROUP
955 OVERLAND CT FL 2
SAN DIMAS, CA 91773-1718
Phone number: 909-971-6717
Mailing Address
CENTINELA VALLEY IPA MEDICAL GROUP
PO BOX 4069
COVINA, CA 91723-0469
Phone number: 909-971-6717
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