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Organization
COVINA HILLS SPORTS MEDICINE INC
Active
Organization
COVINA HILLS SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN BAKER DPT, OCS (OWNER)
(909) 305-1383
Entity
Organization
Contact information
Practice address
1335 W CYPRESS AVE, SUITE 100, SAN DIMAS, CA 91773-3516
(909) 305-1383
(909) 305-1435
Mailing address
PO BOX 99, SAN DIMAS, CA 91773-0099
(909) 305-1383
(909) 305-1435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14488
CA
Other
Enumeration date
06/02/2006
Last updated
02/03/2023
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