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Organization
CEP-AMERICA, OSA
Active
Organization
CEP-AMERICA, OSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE SIVA (EMPA FELLOWSHIP COORDINATOR)
(909) 580-4289
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, SUITE 107, COLTON, CA 92324-1801
(909) 580-4289
(909) 580-1388
Mailing address
26871 ALESSANDRO BLVD, SPACE 35, MORENO VALLEY, CA 92555-3903
(760) 610-9362
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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