| Doc1 Medical Group Professional Corporation | |
|
14532 Central Ave Chino CA 91710-9503 | |
| (949) 868-3377 | |
| (800) 881-7739 |
| Full Name | Doc1 Medical Group Professional Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14532 Central Ave, Chino, California |
| Authorized Official Name and Position | Benjamin Harmon (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 7147070855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc1 Medical Group Professional Corporation 14532 Central Ave Chino CA 91710-9503 Ph: (949) 868-3377 | Doc1 Medical Group Professional Corporation 14532 Central Ave Chino CA 91710-9503 Ph: (949) 868-3377 |
| NPI Number | 1922776996 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922776996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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