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Organization
GOOD SAMARITAN COMMUNITY HEALTH CENTER
Active
Organization
GOOD SAMARITAN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOWBRAY HAGAN MD (CEO)
(951) 642-2974
Entity
Organization
Contact information
Practice address
482 CORONA MALL, CORONA, CA 92879-1418
(951) 642-2974
Mailing address
482 CORONA MALL, CORONA, CA 92879-1418
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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