Organization
PRIMECARE MEDICAL GROUP OF CHINO VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONZEN OU MD (PRESIDENT)
(909) 573-6031
Entity
Organization
Contact information
Practice address
5562 PHILADELPHIA ST STE 200, CHINO, CA 91710-2482
(909) 573-6031
Mailing address
5562 PHILADELPHIA ST STE 200, CHINO, CA 91710-2482
(909) 573-6031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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