Organization
CMS MEDICAL BILING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LAVILLIE (OWNER)
(909) 331-8503
Entity
Organization
Contact information
Practice address
726 E WILLOW ST, ONTARIO, CA 91764-3831
(909) 331-8503
(619) 230-5199
Mailing address
726 E WILLOW ST, ONTARIO, CA 91764-3831
(909) 331-8503
(619) 230-5199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
CA
Enumeration date
05/07/2015
Last updated
05/21/2020
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