Organization
DONNA LEFFLER HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE MCCORMICK WITKOFSKY RNPNP (DIRECTOR OF HEALTH SERVICES)
(909) 820-8775
Entity
Organization
Contact information
Practice address
815 S WILLOW AVE, RIALTO, CA 92376-6934
(909) 820-7785
(909) 820-7770
Mailing address
815 S WILLOW AVE, RIALTO, CA 92376-6934
(909) 820-7785
(909) 820-7770
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
CH02077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH02077
—
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
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