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Organization
ONTARIO FAMILY MEDICAL CENTER INC
Active
Organization
ONTARIO FAMILY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN S. WILBUR MD (MEDICAL DIRECTOR)
(909) 483-1011
Entity
Organization
Contact information
Practice address
3700 E. INLAND EMPIRE BLVD, SUITE 250, ONTARIO, CA 91764-4906
(909) 483-1001
(909) 483-1063
Mailing address
3700 E. INLAND EMPIRE BLVD, SUITE 250, ONTARIO, CA 91764-4906
(909) 483-1001
(909) 483-1063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3281697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3281697
STATE BUSINESS LICENSE
CA
Enumeration date
06/28/2010
Last updated
09/19/2011
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