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Organization
ALAV MEDICAL CORPORATION
Active
Organization
ALAV MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAMARZ ALAV MD (PRESIDENT)
(909) 261-8082
Entity
Organization
Contact information
Practice address
16465 SIERRA LAKES PKWY, STE 220, FONTANA, CA 92336-1242
(909) 434-1123
(909) 261-8082
Mailing address
16465 SIERRA LAKES PKWY STE 200, FONTANA, CA 92336-1242
(909) 429-2404
(909) 261-8082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A74033
CA
Other
Enumeration date
08/01/2007
Last updated
03/30/2018
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