Organization
CHINO VALLEY FAMILY PHYSICIANS A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY HERNANDEZ (OFFICE MANAGER)
(909) 464-9675
Entity
Organization
Contact information
Practice address
13193 CENTRAL AVE., SUITE 100, CHINO, CA 91710-3522
(909) 464-9675
(909) 590-3898
Mailing address
13193 CENTRAL AVE., SUITE 100, CHINO, CA 91710-3522
(909) 464-9675
(909) 590-3898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720120744
—
CA
Enumeration date
02/13/2007
Last updated
09/15/2017
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