Organization
DOCTOR'S MANAGED COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGASAMUDRA S ASHOK MD (CEO)
(818) 515-8804
Entity
Organization
Contact information
Practice address
1520 N MOUNTAIN AVE STE 128, ONTARIO, CA 91762-1132
(909) 949-9299
(909) 949-9029
Mailing address
851 W MOUNTAIN ST, GLENDALE, CA 91202-1047
(818) 515-2309
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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