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Organization
SOTARA MANALO RICO PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SOTARA MANALO RICO PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOTARA MANALO RICO D.O. (OWNER)
(909) 464-2845
Entity
Organization
Contact information
Practice address
5253 RIVERSIDE DR, CHINO, CA 91710-4151
(909) 464-2845
(909) 464-2848
Mailing address
1601 LAS LUNAS ST, PASADENA, CA 91106-1302
(925) 457-1235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
03/03/2020
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