Organization
PORTERVILLE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY LEWIS (MEDICAL DIRECTOR)
(951) 363-0243
Entity
Organization
Contact information
Practice address
900 S MAIN ST STE 105, CORONA, CA 92882-3401
(951) 363-0243
(310) 363-0249
Mailing address
900 S MAIN ST STE 105, CORONA, CA 92882-3401
(951) 363-0243
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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