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Organization
VISTA BEHAVIORAL HEALTH, INC
Active
Organization
VISTA BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCHUKO GREGSON DIAMREYOU MD (PRESIDENT)
(909) 919-7727
Entity
Organization
Contact information
Practice address
10630 TOWN CENTER DRIVE., STE 110, RANCHO CUCAMONGA, CA 91730
(909) 919-7727
Mailing address
10630 TOWN CENTER DRIVE, STE 110, RANCHO CUCAMONGA, CA 91730
(909) 919-7727
(909) 191-2035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A66432
CA
2084P0800X
Psychiatry Physician
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Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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