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Organization
HEALTH SERVICE ALLIANCE
Active
Organization
HEALTH SERVICE ALLIANCE
Active
Parent organization
HEALTH SERVICE ALLIANCE
Other names
Rancho Cucamonga Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SERVICE ALLIANCE
Authorized official
SALLY HERNANDEZ (BILLING MANAGER)
(909) 281-5800
Entity
Organization
Contact information
Practice address
10837 LAUREL ST STE 204, RANCHO CUCAMONGA, CA 91730-7657
(909) 244-9268
(909) 244-0987
Mailing address
10837 LAUREL ST STE 204, RANCHO CUCAMONGA, CA 91730-7657
(909) 244-9268
(909) 244-0987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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