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Organization
NEW HOPE PHYSICIAN HOME CARE SERVICES INC.
Active
Organization
NEW HOPE PHYSICIAN HOME CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS GERALD BALLAINE D.O. (OWNER)
(909) 421-9576
Entity
Organization
Contact information
Practice address
1786 N RIVERSIDE AVE, STE#1, RIALTO, CA 92376-8059
(909) 421-9576
(909) 421-0711
Mailing address
1786 N RIVERSIDE AVE, STE#1, RIALTO, CA 92376-8059
(909) 421-9576
(909) 421-0711
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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