Centinela Valley IPA Medical Group
Centinela Valley IPA Medical Group is a Contractor in San Dimas, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
955 Overland Ct Fl 2San Dimas, CA 91773-1718
Phone: (909) 971-6717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X · Licence 171W00000X (CA) |
|---|
Record details
| NPI number | 1164552378 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anitha Mitchell — President · (310) 673-9499 |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 4069, Covina, CA 91723-0469 |
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