# CHINO VALLEY ORTHOPEDIC CENTER INC

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

## Provider details

- **NPI number:** 1821373978
- **Authorized official:** SOHAIL S. AHMAD M. D. (OWNER/PRESIDENT)
- **Authorized official phone:** (909) 464-9675

## Contact information

- **Practice address:** 13193 CENTRAL AVE, SUITE 100, CHINO, CA 91710-4179
- **Practice address phone:** (909) 464-9675
- **Practice address fax:** (909) 590-3898
- **Mailing address:** 39000 BOB HOPE DR, SUITE K 209, RANCHO MIRAGE, CA 92270-3221
- **Mailing address phone:** (760) 340-1003
- **Mailing address fax:** (760) 340-4844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 08/28/2012
