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Organization
MONTE VISTA PHYSICIANS A MEDICAL CORPORATION
Active
Organization
MONTE VISTA PHYSICIANS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE DE LA LLANA M.D. (PRIMARY CARE PROVIDER)
(909) 931-0069
Entity
Organization
Contact information
Practice address
914 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3785
(909) 931-0069
(909) 625-4954
Mailing address
9625 MONTE VISTA AVE STE 108, MONTCLAIR, CA 91763-2200
(909) 625-7784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A44835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A448351
—
CA
Enumeration date
04/26/2017
Last updated
01/24/2020
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