# RANCHO CUCAMONGA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043575459
- **Authorized official:** SARIAH VEIRS (OFFICE MANAGER)
- **Authorized official phone:** (909) 945-9982

## Contact information

- **Practice address:** 7388 CARNELIAN ST, STE D, RANCHO CUCAMONGA, CA 91730-1160
- **Practice address phone:** (909) 945-9982
- **Mailing address:** 7388 CARNELIAN ST, STE D, RANCHO CUCAMONGA, CA 91730-1160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | CA | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | CA | — |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 10/22/2012