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Organization
MONTCLAIR COMMUNITY HEALTH CENTER
Active
Organization
MONTCLAIR COMMUNITY HEALTH CENTER
Active
Parent organization
HEALTH SERVICE ALLIANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SERVICE ALLIANCE
Authorized official
JAMES LALLY DO (CMO)
(909) 281-5800
Entity
Organization
Contact information
Practice address
5050 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(909) 281-5800
(909) 281-5858
Mailing address
5050 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(909) 281-5800
(909) 281-5858
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407306772
—
CA
Enumeration date
01/04/2018
Last updated
09/02/2025
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