Organization
JOHN DALIVA, DO INC
Active
Other names
John Daliva, DO
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DALIVA DO (OWNER)
(909) 970-5700
Entity
Organization
Contact information
Practice address
9620 FREMONT AVE, MONTCLAIR, CA 91763-2320
(909) 621-4751
(909) 801-7008
Mailing address
PO BOX 2698, CHINO HILLS, CA 91709-0090
(909) 970-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A17362
MEDICAL LICENSE
CA
Enumeration date
06/23/2021
Last updated
03/31/2026
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