Organization
MT. VERNON MEDICAL CLINIC
Active
Organization
MT. VERNON MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J JAMES SHAMLOO M.D. (OWNER)
(909) 422-8015
Entity
Organization
Contact information
Practice address
1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
(909) 422-8015
(909) 422-0625
Mailing address
1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
(909) 422-8015
(909) 422-0625
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
49937
CA
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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