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Organization
LA VISTA HEALTH
Active
Organization
LA VISTA HEALTH
Active
Other names
La Vista Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A TREVELLINE M.D. (CEO)
(724) 462-3975
Entity
Organization
Contact information
Practice address
1111 GRAND AVE STE L, DIAMOND BAR, CA 91765-4172
(909) 551-0205
(909) 345-7084
Mailing address
1111 GRAND AVE STE L, DIAMOND BAR, CA 91765-4172
(909) 551-0205
(909) 345-7084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
09/24/2020
Last updated
09/20/2021
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