Organization
GENESIS HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE FINCH (OFFICE MANAGER)
(909) 902-5588
Entity
Organization
Contact information
Practice address
11760 CENTRAL AVE STE 125, CHINO, CA 91710-1909
(909) 502-5588
(909) 902-1013
Mailing address
11760 CENTRAL AVE STE 125, CHINO, CA 91710-1909
(909) 502-5588
(909) 902-1013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
34087
—
Other
Enumeration date
10/01/2009
Last updated
10/30/2009
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