Organization
HEALTH SERVICE ALLIANCE
Active
Other names
Alta Loma Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J COX (CFO)
(909) 464-9675
Entity
Organization
Contact information
Practice address
9089 BASE LINE RD STE 200, RANCHO CUCAMONGA, CA 91730-1295
(909) 980-3567
(909) 989-3932
Mailing address
9089 BASE LINE RD STE 200, RANCHO CUCAMONGA, CA 91730-1295
(909) 980-3567
(909) 989-3932
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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