Organization
GREATER CORONA EXTENDED CARE, INC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY MULLER M.D. (OWNER)
(951) 735-9211
Entity
Organization
Contact information
Practice address
500 CORONA MALL, CORONA, CA 92879-1420
(951) 735-9100
Mailing address
341 MAGNOLIA AVE, SUITE 201, CORONA, CA 92879-3330
(951) 735-9211
(951) 735-9092
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
CA
Other
Enumeration date
12/14/2006
Last updated
12/31/2007
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