ALTA MEDICAL GROUP OF CALIFORNIA

RANCHO CUCAMONGA, CA
NPI1508580523
Entity TypeOrganization
Authorized ContactPETERSON GO
President
909-236-0338
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Additional Taxonomies2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
ALTA MEDICAL GROUP OF CALIFORNIA
9836 FOOTHILL BLVD STE 610
RANCHO CUCAMONGA, CA 91730-3660
Phone number: 909-236-0338
Mailing Address
ALTA MEDICAL GROUP OF CALIFORNIA
9836 FOOTHILL BLVD STE 610
RANCHO CUCAMONGA, CA 91730-3660
Phone number: 909-236-0338