Organization
JEFFREY N. MAR, M.D., INC.
Active
Other names
Valenta, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY N MAR M.D (PRESIDENT AND CEO)
(909) 771-8023
Entity
Organization
Contact information
Practice address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
(909) 989-0606
Mailing address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
(909) 989-0606
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
A87348
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
A87348
CA
Other
Enumeration date
03/21/2007
Last updated
01/03/2012
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