Alta Medical Group of California
Alta Medical Group of California is a Behavioral Neurology & Neuropsychiatry Physician in Rancho Cucamonga, California. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
9836 Foothill Blvd Ste 610Rancho Cucamonga, CA 91730-3660
Phone: (909) 236-0338
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | Taxonomy 2084B0040X |
Record details
| NPI number | 1508580523 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peterson Go — President · (909) 236-0338 |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | 9836 Foothill Blvd Ste 610, Rancho Cucamonga, CA 91730-3660 |
Other providers in Rancho Cucamonga
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Alta Medical Clinic Inc of California
9836 Foothill Blvd Ste 610, Rancho Cucamonga, CA 91730-3660 · (909) 236-0338