# JOHN DALIVA, DO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John Daliva, DO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710556667
- **Authorized official:** JOHN DALIVA DO (OWNER)
- **Authorized official phone:** (909) 970-5700

## Contact information

- **Practice address:** 9620 FREMONT AVE, MONTCLAIR, CA 91763-2320
- **Practice address phone:** (909) 621-4751
- **Practice address fax:** (909) 801-7008
- **Mailing address:** PO BOX 2698, CHINO HILLS, CA 91709-0090
- **Mailing address phone:** (909) 970-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2021
- **Last updated:** 03/31/2026