Medical Youth Fountain Incorporated
Medical Youth Fountain Incorporated is a Surgery Physician in Upland, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
557 N Central AveUpland, CA 91786-4241
Phone: (909) 608-7178
Fax: (909) 608-0939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|
Record details
| NPI number | 1366132243 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Farabi Hussain — Ceo · (909) 608-7178 |
| Other names | Abc Surgery |
| NPI enumerated | May 12, 2023 |
| Last updated in NPPES | May 12, 2023 |
| Certification date | May 12, 2023 |
| Mailing address | 557 N Central Ave, Upland, CA 91786-4241 |
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