Fontana Healthcare, Llc

NPI 1114096120 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1114096120
Enumeration Date 11/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEOUNG JEOUNG
Position PRESIDENT CEO
Phone (909) 877-1555
Fax
Practice Location
17933 SAN BERNARDINO AVE
FONTANA CA, 92335-6151, US
Phone (909) 877-1555
Fax
Business Location
250 FAIRVIEW RD
THOUSAND OAKS CA, 91361-2456, US
Phone (805) 494-1233
Fax (805) 494-1411
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1114096120 NPI Number
 

According to our database, Fontana Healthcare, Llc NPI is 1114096120, taxonomy code is 314000000X Fontana Healthcare, Llc physically located at 17933 San Bernardino Ave, Fontana CA, 92335-6151. NPI Number 1033115704 has the healthcare provider type.

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1114096120 NPI number is provided on an as is basis without warranty of any kind. 1114096120 is maintained by the National Plan & Provider Enumeration System. The contents of Fontana Healthcare, Llc are for informational purposes only.