Organization
ACTIVE PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SINDY TADROS D.O. (CEO)
(909) 581-3051
Entity
Organization
Contact information
Practice address
7890 HAVEN AVE, SUITE 1, RANCHO CUCAMONGA, CA 91730-3051
(619) 265-0291
Mailing address
7890 HAVEN AVE, SUITE #1, RANCHO CUCAMONGA, CA 91730
(909) 581-3051
(909) 581-3057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
08/22/2011
Last updated
06/16/2015
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