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Organization

CENTRAL MEDICAL PRACTICE

Active
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Organization

CENTRAL MEDICAL PRACTICE

Active
Other names
Above Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANE T HIMMELVO MD (CEO)
(432) 294-5833
Entity
Organization

Contact information

Practice address
8891 N CENTRAL AVE, SUITE A, MONTCLAIR, CA 91763
(432) 294-5833
(909) 621-1397
Mailing address
8891 CENTRAL AVE STE A, MONTCLAIR, CA 91763-1685
(909) 297-3361

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL

Other

Enumeration date
06/27/2024
Last updated
06/08/2026
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