Individual
JOHN DALIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9500
Mailing address
PO BOX 2698, CHINO HILLS, CA 91709-0090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A17362
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
20A17362
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2016
Last updated
03/31/2026
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