# SOUTHERN CALIFORNIA INJURY TREATMENT CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558676627
- **Authorized official:** DR. CLYDE O. HARRIS III M.D. (ORTHOPEDIC SURGEON)
- **Authorized official phone:** (909) 364-8111

## Contact information

- **Practice address:** 14365 PIPELINE AVE, CHINO, CA 91710-5642
- **Practice address phone:** (909) 364-8111
- **Practice address fax:** (909) 591-0538
- **Mailing address:** 14365 PIPELINE AVE, CHINO, CA 91710-5642
- **Mailing address phone:** (909) 364-8111
- **Mailing address fax:** (909) 591-0538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G041089 | CA | Yes |

## Other

- **Enumeration date:** 08/13/2010
- **Last updated:** 08/13/2010