Organization
TRUCARE IPA INC
Active
Organization
TRUCARE IPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BENITO ALVAREZ DE LA LLANA MD (PRESIDENT)
(909) 961-7881
Entity
Organization
Contact information
Practice address
1749 S EUCLID AVE STE A, ONTARIO, CA 91762-5832
(909) 972-0300
(909) 984-4878
Mailing address
1749 S EUCLID AVE STE A, ONTARIO, CA 91762-5832
(909) 972-0300
(909) 984-4878
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/25/2022
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