NPI | 1952351074 |
---|---|
Doing Business As | FONTANA FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | FIDES P. ESCOBAL Office Manager 909-428-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: CA A78188) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2020-08-22 |