Organization
HEALTH SERVICE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY J COX (CFO)
(909) 464-9675
Entity
Organization
Contact information
Practice address
220 S INDIAN HILL BLVD STE F, CLAREMONT, CA 91711-4929
(909) 281-5800
Mailing address
220 S INDIAN HILL BLVD STE F, CLAREMONT, CA 91711-4929
(909) 281-5800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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