Organization
ACEVEDO MEDICAL GROUP, A MEDICAL CORPORATION
Active
Other names
POMONA FAMILY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LORETO M ACEVEDO-CARMONA (BUSINESS MANAGER/ADMINISTRATOR)
(909) 622-2345
Entity
Organization
Contact information
Practice address
1818 N ORANGE GROVE AVE, STE 305, POMONA, CA 91767-3028
(909) 622-2345
(909) 397-7654
Mailing address
1818 N ORANGE GROVE AVE, STE 305, POMONA, CA 91767-3028
(909) 622-2345
(909) 397-7654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A74961
CA
Other
Enumeration date
10/19/2007
Last updated
03/04/2009
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