Organization
PRISTINE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GABRIELA RIOS (ADMINISTRATOR)
(909) 629-0444
Entity
Organization
Contact information
Practice address
1890 N GAREY AVE, SUITE #B, POMONA, CA 91767-2923
(909) 626-0444
(909) 629-0446
Mailing address
1890 N GAREY AVE, SUITE #B, POMONA, CA 91767-2923
(909) 626-0444
(909) 629-0446
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
01/22/2014
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