Organization
CANYON VISTA HEALTHCARE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D MCINTYRE JR. M.D. (PRESIDENT)
(626) 296-3181
Entity
Organization
Contact information
Practice address
2319 E WASHINGTON BLVD, SUITE ONE, PASADENA, CA 91104-1945
(626) 296-3181
Mailing address
2319 E WASHINGTON BLVD, SUITE ONE, PASADENA, CA 91104-1945
(626) 296-3181
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G29828
CA
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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