Monte Vista Physicians a Medical Corporation
Monte Vista Physicians a Medical Corporation provides Family Medicine Physician services in Upland, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
914 W Foothill Blvd Ste AUpland, CA 91786-3785
Phone: (909) 931-0069
Fax: (909) 625-4954
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A44835 (CA) |
|---|
Record details
| NPI number | 1326573437 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jose De La Llana — Primary Care Provider · (909) 931-0069 |
| NPI enumerated | April 26, 2017 |
| Last updated in NPPES | January 24, 2020 |
| Certification date | January 24, 2020 |
| Mailing address | 9625 Monte Vista Ave Ste 108, Montclair, CA 91763-2200 |
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