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Organization

CAL-CARE INDUSTRIAL MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT E LADINES M D (MEDICAL DIRECTOR)
(909) 620-8887
Entity
Organization

Contact information

Practice address
502 S GAREY AVE, POMONA, CA 91766-3319
(909) 620-8887
(909) 620-8817
Mailing address
502 S GAREY AVE, POMONA, CA 91766-3319
(909) 620-8887
(909) 620-8817

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
A51126
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A511260
CA
Enumeration date
12/15/2010
Last updated
12/15/2010
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