Organization
VERITAS HEALTH SERVICES, LLC
Active
Other names
Chino Valley Medical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8600
(909) 464-8882
Mailing address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8600
(909) 464-8882
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
240000125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30586J
—
CA
05
—
HSP40586J
—
CA
01
—
ZZZA36102
BLUE SHIELD PROVIDER #
CA
Enumeration date
06/20/2005
Last updated
01/25/2021
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