Montclair Community Health Center | |
5050 San Bernardino St Montclair CA 91763-2326 | |
(909) 281-5800 | |
(909) 281-5858 |
Full Name | Montclair Community Health Center |
---|---|
Speciality | Family Medicine |
Location | 5050 San Bernardino St, Montclair, California |
Authorized Official Name and Position | James Lally (PRESIDENT) |
Authorized Official Contact | 9092815800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Montclair Community Health Center 5050 San Bernardino St Montclair CA 91763-2326 Ph: (909) 281-5800 | Montclair Community Health Center 5050 San Bernardino St Montclair CA 91763-2326 Ph: (909) 281-5800 |
NPI Number | 1508373119 |
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Provider Enumeration Date | 01/04/2018 |
Last Update Date | 01/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508373119 | NPI | - | NPPES |
1407306772 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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