Organization
SOUTHERN CALIFORNIA PRIMARY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH MALHOTRA M.D. (OWNER)
(760) 810-7778
Entity
Organization
Contact information
Practice address
19341 BEAR VALLEY RD STE 101, APPLE VALLEY, CA 92308
(760) 810-7778
(760) 810-7780
Mailing address
8237 ROCHESTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-0717
(909) 477-3310
(909) 477-3320
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A91216
CA
261QP2300X
Primary Care Clinic/Center
A91216
CA
Other
Enumeration date
07/18/2011
Last updated
08/06/2018
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