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Organization
UPLAND ORTHOPAEDIC MEDICAL GROUP, INC.
Active
Organization
UPLAND ORTHOPAEDIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY N SHAH M.D. (PHYSICIAN)
(909) 986-0494
Entity
Organization
Contact information
Practice address
1520 N MOUNTAIN AVE BLDG E, SUITE 205, ONTARIO, CA 91762-1128
(909) 986-0494
(909) 986-0497
Mailing address
1520 N MOUNTAIN AVE BLDG E, SUITE 205, ONTARIO, CA 91762-1128
(909) 986-0494
(909) 986-0497
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
02/09/2007
Last updated
07/21/2022
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