Organization
ALTA VIDA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MORAN MD (OWNER)
(909) 816-7927
Entity
Organization
Contact information
Practice address
363 S INDIAN HILL BLVD, CLAREMONT, CA 91711-5224
(909) 816-7927
Mailing address
12326 MERITAGE CT, RANCHO CUCAMONGA, CA 91739-8825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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