Organization
ALTA LOMA MEDICAL GROUP
Active
Other names
URGENT CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JAMES KURTH M.D. (CEO)
(909) 980-2273
Entity
Organization
Contact information
Practice address
9695 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1314
(909) 980-2273
(909) 980-1387
Mailing address
9695 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1314
(909) 980-2273
(909) 980-1387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G439630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0015501
—
CA
Enumeration date
08/30/2007
Last updated
08/30/2007
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