Organization
TOTAL CARE MASTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELIE LUCERO-AGUIRRE RN (ADMINISTRATOR)
(626) 541-7393
Entity
Organization
Contact information
Practice address
905 S GLENDORA AVE, WEST COVINA, CA 91790-4205
(626) 541-7393
Mailing address
905 S GLENDORA AVE, WEST COVINA, CA 91790-4205
(626) 541-7393
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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