Miguel Angel Cervantes-lopez PAC

NPI 1689829327 - Family Medicine - 207Q00000X

NPI Details
NPI 1689829327
Gender Male
Enumeration Date 11/21/2008
Last Updated 06/21/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
5475 WALNUT AVE
CHINO CA, 91710-2609, US
Phone (909) 591-6446
Fax (909) 627-3798
Business Location
6485 DAY ST.
STE 201
RIVERSIDE CA, 92507, US
Phone (951) 697-4549
Fax (951) 697-4286
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number PA20071
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According to our database, Miguel Angel Cervantes-lopez PAC NPI is 1689829327, taxonomy code is 207Q00000X and license number is PA20071, license state is located at California. Miguel Angel Cervantes-lopez PAC physically located at 5475 Walnut Ave, Chino CA, 91710-2609. NPI Number Miguel Angel Cervantes-lopez PAC has the Individual type.

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1689829327 NPI number is provided on an as is basis without warranty of any kind. 1689829327 is maintained by the National Plan & Provider Enumeration System. The contents of Miguel Angel Cervantes-lopez PAC are for informational purposes only.