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Individual

DR. CRISOSTOMO ALEJO ARMADA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10399 LEMON AVE STE 101, RANCHO CUCAMONGA, CA 91737-3771
(909) 373-0216
(909) 373-1902
Mailing address
10399 LEMON AVE STE 101, RANCHO CUCAMONGA, CA 91737-3771
(909) 373-0216
(909) 373-1902

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5158
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00AX51580
MEDI-CAL
CA
01
020A51581
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
07/16/2006
Last updated
02/27/2023
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