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Organization
KIDS COME FIRST COMMUNITY CLINIC
Active
Organization
KIDS COME FIRST COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA PRENDIZ (PROGRAM COORDINATOR)
(909) 984-7384
Entity
Organization
Contact information
Practice address
1556 S SULTANA AVE, ONTARIO, CA 91761-4238
(909) 984-7384
(909) 982-7268
Mailing address
1556 S SULTANA AVE, ONTARIO, CA 91761-4238
(909) 984-7384
(909) 984-7268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
240000826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70914G
—
CA
Enumeration date
04/18/2007
Last updated
10/22/2015
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