Fontana Physicians Associates A Medical Corporation

NPI 1174621585 - Family Medicine - 207Q00000X

NPI Details
NPI 1174621585
Enumeration Date 09/20/2006
Last Updated 02/20/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name OCTAVIO OCTAVIO
Position MEDICAL DIRECTOR/ OWNER
Phone (909) 854-3790
Fax (909) 854-3792
Practice Location
17695 ARROW BLVD
FONTANA CA, 92335-4041, US
Phone (909) 854-3790
Fax (909) 854-3792
Business Location
17695 ARROW BLVD
FONTANA CA, 92335-4041, US
Phone (909) 854-3790
Fax (909) 854-3792
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Fontana Physicians Associates A Medical Corporation NPI is 1174621585, taxonomy code is 207Q00000X Fontana Physicians Associates A Medical Corporation physically located at 17695 Arrow Blvd, Fontana CA, 92335-4041. NPI Number 1033115704 has the healthcare provider type.

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1174621585 NPI number is provided on an as is basis without warranty of any kind. 1174621585 is maintained by the National Plan & Provider Enumeration System. The contents of Fontana Physicians Associates A Medical Corporation are for informational purposes only.