Organization
CONSUMER MEDICAL ENTERPRISE
Active
Other names
ALTA LOMA MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J KURTH M.D. (CEO)
(909) 980-2273
Entity
Organization
Contact information
Practice address
9695 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1314
(909) 980-2273
(909) 980-1387
Mailing address
9695 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1314
(909) 980-2273
(909) 980-1387
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
FNP14159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0015501
—
CA
Enumeration date
07/20/2006
Last updated
11/16/2007
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