Organization
CPSC PROVIDER SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY OU MD (MEDICAL DIRECTOR)
(909) 517-0000
Entity
Organization
Contact information
Practice address
5562 PHILADELPHIA ST STE 111, CHINO, CA 91710-2482
(909) 517-0000
(909) 517-9158
Mailing address
5562 PHILADELPHIA ST STE 111, CHINO, CA 91710-2482
(909) 517-0000
(909) 517-9158
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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