Individual
AMAR MANGLESH DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26520 CACTUS AVE, FAMILY MEDICINE CLINIC, MORENO VALLEY, CA 92555-3927
(951) 486-5593
(951) 486-5595
Mailing address
26520 CACTUS AVE, FAMILY MEDICINE DEPARTMENT, MORENO VALLEY, CA 92555-3927
(951) 486-5611
(951) 486-5620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A138428
CA
Other
Enumeration date
06/19/2013
Last updated
11/30/2018
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