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Organization

FAMILY CARE SPECIALISTS IPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESTHER RIOS (EXECUTIVE DIRECTOR)
(909) 971-6717
Entity
Organization

Contact information

Practice address
955 OVERLAND CT FL 2, SAN DIMAS, CA 91773-1718
(909) 971-6717
(909) 971-6767
Mailing address
955 OVERLAND CT FL 2, SAN DIMAS, CA 91773-1718
(909) 971-6717
(909) 971-6767

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
03/19/2007
Last updated
06/20/2008
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