Organization
R H EAR NOSE & THROAT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HABBESTAD M D (OWNER/PRESIDENT)
(909) 621-7321
Entity
Organization
Contact information
Practice address
9655 MONTE VISTA AVE STE 403, MONTCLAIR, CA 91763-2238
(909) 621-7321
(909) 621-1491
Mailing address
9655 MONTE VISTA AVE STE 403, MONTCLAIR, CA 91763-2238
(909) 621-7321
(909) 621-1491
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A35077
CA
Other
Enumeration date
12/06/2012
Last updated
11/21/2019
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