Organization
ALFRED B DADIVAS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED B DADIVAS MD (PRESIDENT)
(909) 350-2400
Entity
Organization
Contact information
Practice address
7950 CHERRY AVE, SUITE 106, FONTANA, CA 92336-4023
(909) 350-2400
(909) 350-2480
Mailing address
7950 CHERRY AVE, SUITE 106, FONTANA, CA 92336-4023
(909) 350-2400
(909) 350-2480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A48522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A485220
—
CA
Enumeration date
11/27/2007
Last updated
08/21/2009
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