| Synovation Medical Group | |
|
10565 Civic Center Drive West Bldg Ste 165 Rancho Cucamonga CA 91730-3734 | |
| (909) 985-2211 | |
| (909) 985-2244 |
| Full Name | Synovation Medical Group |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 10565 Civic Center Drive, Rancho Cucamonga, California |
| Authorized Official Name and Position | Clayton A Varga (CEO) |
| Authorized Official Contact | 6266961400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synovation Medical Group Po Box 515800 Los Angeles CA 90051-3100 Ph: (909) 493-3800 | Synovation Medical Group 10565 Civic Center Drive West Bldg Ste 165 Rancho Cucamonga CA 91730-3734 Ph: (909) 985-2211 |
| NPI Number | 1447597471 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447597471 | NPI | - | NPPES |
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