Organization
CITRUS VALLEY FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE I JARAMILLO M.D. (PRESIDENT)
(626) 931-2200
Entity
Organization
Contact information
Practice address
1400 N HACIENDA BLVD, LA PUENTE, CA 91744-1187
(626) 931-2200
(626) 931-2203
Mailing address
1400 N HACIENDA BLVD, LA PUENTE, CA 91744-1187
(626) 931-2200
(626) 931-2203
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A48167
CA
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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