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Organization
HEALTH SERVICE ALLIANCE
Active
Organization
HEALTH SERVICE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LALLY DO (PRESIDENT)
(909) 281-5800
Entity
Organization
Contact information
Practice address
13193 CENTRAL AVE, CHINO, CA 91710-4179
(909) 464-9675
(909) 590-3898
Mailing address
5050 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(909) 281-5800
(909) 281-5858
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407306772
—
CA
05
—
1720120744
—
CA
Enumeration date
10/23/2017
Last updated
11/19/2025
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