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Organization

LIFE POINT MEDICAL AND URGENT CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NOREEN WAYNE BASS (ADMINISTRATOR)
(909) 398-4958
Entity
Organization

Contact information

Practice address
9057 CENTRAL AVE, MONTCLAIR, CA 91763-1622
(909) 398-4958
(909) 398-4979
Mailing address
9057 CENTRAL AVE, MONTCLAIR, CA 91763-1622
(909) 398-4958
(909) 398-4979

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/29/2015
Last updated
10/05/2019
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