Organization
LIFE MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAI QUANG TRAN D.O. (DOCTOR)
(909) 395-9888
Entity
Organization
Contact information
Practice address
653 E E ST, SUITE 108, ONTARIO, CA 91764-4257
(909) 395-9888
Mailing address
653 E E ST, SUITE 108, ONTARIO, CA 91764-4257
(909) 395-9888
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
20A7325
CA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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