Organization
SOUTHERN CALIFORNIA INJURY TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE O. HARRIS III M.D. (ORTHOPEDIC SURGEON)
(909) 364-8111
Entity
Organization
Contact information
Practice address
14365 PIPELINE AVE, CHINO, CA 91710-5642
(909) 364-8111
(909) 591-0538
Mailing address
14365 PIPELINE AVE, CHINO, CA 91710-5642
(909) 364-8111
(909) 591-0538
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G041089
CA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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