Organization
OUR FAMILY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA K ALDARACA (CREDENTIALING MANAGER)
(909) 236-7994
Entity
Organization
Contact information
Practice address
1131 W 6TH ST STE 150, ONTARIO, CA 91762-1116
(909) 482-4462
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
02/08/2023
Last updated
11/13/2025
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