Organization
CENTRAL MEDICAL PRACTICE
Active
Other names
Above Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE T HIMMELVO MD (CEO)
(432) 294-5833
Entity
Organization
Contact information
Practice address
8891 N CENTRAL AVE, SUITE A, MONTCLAIR, CA 91763
(432) 294-5833
(909) 621-1397
Mailing address
8891 N CENTRAL AVE, SUITE A, MONTCLAIR, CA 91763
(909) 297-3361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
10/15/2024
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