Alta Loma Medical Group in Rancho Cucamonga - Specialist
Alta Loma Medical Group - NPI 1578757837
Alta Loma Medical Group is a Specialist in Rancho Cucamonga, California. Alta Loma Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alta Loma Medical Group is 1578757837. The last update date is 2007-08-30.
Alta Loma Medical Group's current location address is 9695 Baseline Rd, Rancho Cucamonga, California. You can contact this provider via phone number 9099802273 and fax number 9099801387. The mailing address for Alta Loma Medical Group is 9695 Baseline Rd, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alta Loma Medical Group |
|---|---|
| Address | 9695 Baseline Rd, Rancho Cucamonga, California |
| Phone Number | 9099802273 |
| Fax Number | 9099801387 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kurth James Donald |
| Credentials | M.D. |
| Telephone Number | 9099802273 |
NPI Number Detail
| NPI Number | 1578757837 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | 9695 Baseline Rd |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917301314 |
| Phone Number | 9099802273 |
| Fax Number | 9099801387 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G439630 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0015501 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alta Loma Medical Group by the Centers for Medicare & Medicaid Services?
The Alta Loma Medical Group has been assigned the NPI (National Provider Identifier) 1578757837. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Alta Loma Medical Group is physically located?
The Alta Loma Medical Group is situated at the following address: 9695 Baseline Rd, Rancho Cucamonga, CA 917301314.
What is the Alta Loma Medical Group's specialty and taxonomy code?
The Alta Loma Medical Group's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578757837 to Alta Loma Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1578757837 to Alta Loma Medical Group on 2007-08-30.
When was the information pertaining to Alta Loma Medical Group most recently updated or revised?
The details related to Alta Loma Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-30.