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Organization
MONTANA AFFINITY CLINIC LLC
Active
Organization
MONTANA AFFINITY CLINIC LLC
Active
Other names
MONTANA AFFINITY CLINIC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHINE BAISA MONTANA M.D. (OWNER)
(909) 236-5575
Entity
Organization
Contact information
Practice address
820 N MOUNTAIN AVE STE 103, UPLAND, CA 91786-0000
(909) 236-5575
Mailing address
820 N MOUNTAIN AVE STE 103, UPLAND, CA 91786-4163
(909) 236-5575
(909) 222-6936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
06/26/2025
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