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Organization
MONTCLAIR EMERGENCY MEDICAL ASSOCIATES
Active
Organization
MONTCLAIR EMERGENCY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUSTINE GUEVARA (DEPARTMENT COORDINATOR)
(424) 241-1546
Entity
Organization
Contact information
Practice address
5000 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(909) 625-8307
(909) 625-8255
Mailing address
PO BOX 80456, CITY OF INDUSTRY, CA 91716-8402
(310) 379-2134
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104390
—
CA
Enumeration date
09/20/2006
Last updated
11/09/2020
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