# CLINICA MEDICA FAMILIAR-PHN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Connected Health Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568585024
- **Authorized official:** MR. ESTEBAN R GUERRERO III MBA (C.O.O.)
- **Authorized official phone:** (951) 429-4086

## Contact information

- **Practice address:** 9792 SIERRA AVE, FONTANA, CA 92335-6717
- **Practice address phone:** (909) 434-6000
- **Practice address fax:** (909) 434-6001
- **Mailing address:** 9792 SIERRA AVE, FONTANA, CA 92335-6717
- **Mailing address phone:** (909) 434-6000
- **Mailing address fax:** (909) 434-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 07/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GR0082773 | MEDI-CAL PROVIDER NUMBER | CA |