Organization
OUR FAMILY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA K ALDARACA (CREDENTIALING MANAGER)
(909) 236-7994
Entity
Organization
Contact information
Practice address
5475 WALNUT AVE, 1ST FLOOR, SUITE H, CHINO, CA 91710-2609
(909) 591-6446
(909) 591-1309
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
03/27/2025
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