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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
JACQUELINE VELA (ADMINISTRATOR & CONTRACTS MANAGER)
(949) 247-2896
Entity
Organization
Contact information
Practice address
8330 RED OAK ST STE 201, RANCHO CUCAMONGA, CA 91730-0603
(909) 987-2528
(909) 987-4668
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
12/27/2019
Last updated
07/25/2023
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