Organization
DOCTORS' HOSPITAL MEDICAL CENTER OF MONTCLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHU (CHIEF EXECUTIVE OFFICER)
(909) 625-5411
Entity
Organization
Contact information
Practice address
5000 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(909) 625-5411
(909) 626-4777
Mailing address
5000 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(909) 625-5411
(909) 626-4777
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30584
MEDI-CAL PROVIDER #
—
Enumeration date
01/11/2006
Last updated
08/22/2020
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