Organization
ALTA CIELO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AGNES DULDULAO (OWNER)
(626) 722-4695
Entity
Organization
Contact information
Practice address
855 N LARK ELLEN AVE # J1, WEST COVINA, CA 91791-1099
(626) 722-4695
(626) 727-7180
Mailing address
855 N LARK ELLEN AVE # J1, WEST COVINA, CA 91791-1099
(626) 722-4695
(626) 727-7180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
09/17/2025
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