# UNITED MEDICAL CLINIC INC OF CALIFORNIA

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

## Provider details

- **NPI number:** 1770285751
- **Authorized official:** ARIAGNE ARIELLE DUAVE (PRESIDENT)
- **Authorized official phone:** (702) 969-8785

## Contact information

- **Practice address:** 692 E PHILLIPS BLVD, POMONA, CA 91766-4549
- **Practice address phone:** (702) 969-8785
- **Mailing address:** 692 E PHILLIPS BLVD, POMONA, CA 91766-4549
- **Mailing address phone:** (702) 969-8785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 03/21/2023