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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