Organization
PLIEV ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGOMED PLIEV (OWNER)
(909) 988-1400
Entity
Organization
Contact information
Practice address
633 W STATE ST, SUITE H, ONTARIO, CA 91762-4200
(909) 988-1400
Mailing address
633 W STATE ST, SUITE H, ONTARIO, CA 91762-4200
(909) 988-1400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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