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Organization
OUR FAMILY MEDICAL GROUP, INC.
Active
Organization
OUR FAMILY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWA H KONCA (PHYSICIAN)
(909) 981-0989
Entity
Organization
Contact information
Practice address
9190 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730-5431
(909) 981-0989
(909) 949-6214
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
11/02/2016
Last updated
11/13/2025
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