is a Community Health in Rialto, California. practices all healthcare services and medical treatments related to Community Health. The NPI Number for is 1689884504. The last update date is .
's current location address is 815 S Willow Ave, Rialto, California. You can contact this provider via phone number 9098207785 and fax number 9098207770. The mailing address for is 815 S Willow Ave, Rialto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 815 S Willow Ave, Rialto, California |
| Phone Number | 9098207785 |
| Fax Number | 9098207770 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689884504 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 815 S Willow Ave |
|---|---|
| City | Rialto |
| State | California (CA) |
| Post Code | 923766934 |
| Phone Number | 9098207785 |
| Fax Number | 9098207770 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | CH02077 |
|
Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH02077 | CA | -- |
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