Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Miguel Community Clinic

Organization General Practice Physician · NPI 1942548342

San Miguel Community Clinic provides General Practice Physician services in Pomona, California. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

825 N Park Ave
Pomona, CA 91768-3002 Not confirmed with CMS for 13 years — call before visiting
Phone: (909) 622-9988
Fax: (909) 622-3452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1942548342
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe San Miguel Foundation
Authorized official Kj Laessig — Executive Director · (213) 742-0255
NPI enumeratedJanuary 21, 2013
Last updated in NPPESJanuary 21, 2013
Mailing address825 N Park Ave, Pomona, CA 91768-3002

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