Organization
UPLAND NEW HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEIHUA SHI LAC, PHD (CEO)
(909) 920-5817
Entity
Organization
Contact information
Practice address
555 E FOOTHILL BLVD STE 9, UPLAND, CA 91786-3994
(909) 920-5817
(909) 243-1186
Mailing address
555 E FOOTHILL BLVD STE 9, UPLAND, CA 91786-3994
(909) 920-5817
(909) 243-1186
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AC11056
CA
Other
Enumeration date
10/25/2010
Last updated
09/17/2012
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