Organization
MAC HOPE MEDICAL AND MENTAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ADINMA (CREDENTIALING COORDINATOR)
(909) 912-4310
Entity
Organization
Contact information
Practice address
851 S MOUNT VERNON AVE STE 7A, COLTON, CA 92324-3926
(760) 241-6044
Mailing address
6279 SANDHILL PL, RANCHO CUCAMONGA, CA 91739-2600
(909) 912-4310
Taxonomy
Speciality
Code
Description
License number
State
2083C0008X
Clinical Informatics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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