Organization
SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT.
Active
Other names
California Children's Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXWELL OHIKHUARE M.D. (HEALTH OFFICER)
(909) 387-6219
Entity
Organization
Contact information
Practice address
11155 ALMOND AVE, FONTANA MTU, FONTANA, CA 92337-7113
(909) 357-5900
(909) 357-5976
Mailing address
451 E VANDERBILT WAY, SAN BERNARDINO, CA 92408-3641
(909) 387-6218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS00106F
REHAB CLINIC
CA
Enumeration date
11/01/2006
Last updated
11/20/2024
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