Organization
SOUTHERN CALIFORNIA PICC PROVIDERS, INC.
Active
Organization
SOUTHERN CALIFORNIA PICC PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CATHERINE KOH CHUA (MEMBER OF THE BOARD)
(909) 945-9899
Entity
Organization
Contact information
Practice address
5787 LITTLE SHAY DR, FONTANA, CA 92336
(909) 251-7730
(909) 251-7735
Mailing address
5787 LITTLE SHAY DR, FONTANA, CA 92336-4593
(909) 251-7730
(909) 251-7735
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
07/13/2018
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