VIA VERDE MEDICAL GROUP, INC

SAN DIMAS, CA
NPI1639109713
Entity TypeOrganization
Authorized ContactSTEVEN E DAVIS
Owner
909-592-9778
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A5217)
Enumeration Date2006-07-04
Last Update Date2013-02-19
Business Address
VIA VERDE MEDICAL GROUP, INC
1125 VIA VERDE
SAN DIMAS, CA 91773-4400
Phone number: 909-592-9778
Mailing Address
VIA VERDE MEDICAL GROUP, INC
1125 VIA VERDE
SAN DIMAS, CA 91773-4400
Phone number: 909-592-9778
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