Organization
MONTCLAIR FAMILY MEDICAL CENTER INC
Active
Other names
Royal care medical center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSELITO P BABARAN MD (LEGAL MEDICINE)
(909) 395-9888
Entity
Organization
Contact information
Practice address
653 EAST E ST, SUITE 109, ONTARIO, CA 91764-4257
(909) 395-9888
Mailing address
653 EAST E ST, SUITE 109, ONTARIO, CA 91764-4257
(909) 395-9888
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A51480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A514800
MEDICARE
CA
05
—
00A514802
—
CA
Enumeration date
05/13/2008
Last updated
05/13/2008
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