# JOSE A DHEMING MD INC

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

## Provider details

- **NPI number:** 1750462487
- **Authorized official:** JOSE A DHEMING M.D. (PRESIDENT)
- **Authorized official phone:** (909) 902-9934

## Contact information

- **Practice address:** 5385 WALNUT AVE, \# 4, CHINO, CA 91710-2605
- **Practice address phone:** (909) 902-9934
- **Practice address fax:** (909) 902-0754
- **Mailing address:** 5385 WALNUT AVE, \# 4, CHINO, CA 91710-2605
- **Mailing address phone:** (909) 902-9934
- **Mailing address fax:** (909) 902-0754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A55611 | CA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 04/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A556110 | — | CA |
