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

Montclair Vida Health Clinic PC

Organization Health Service Clinic/Center · NPI 1699034827

Montclair Vida Health Clinic PC is a Health Service Clinic/Center in Montclair, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5404 Moreno St Ste N&p
Montclair, CA 91763
Phone: (909) 949-4400
Fax: (909) 949-4441
Show map & directions

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

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence 20A8311 (CA)

Record details

NPI number1699034827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ginger Leon — Medical Director · (909) 949-4400
NPI enumeratedMay 8, 2012
Last updated in NPPESJune 7, 2018
Mailing address5404 Moreno St, Suite N&P, Montclair, CA 91763-1667

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