| Tony Demico Harris Mbr | |
|
8052 Tuscany St Fontana CA 92336-3800 | |
| (909) 756-3583 | |
| Not Available |
| Full Name | Tony Demico Harris Mbr |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 8052 Tuscany St, Fontana, California |
| Authorized Official Name and Position | Tony Harris (CHIEF EXECTIVE OFFICER) |
| Authorized Official Contact | 9097563583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony Demico Harris Mbr 8052 Tuscany St Fontana CA 92336-3800 Ph: (909) 756-3583 | Tony Demico Harris Mbr 8052 Tuscany St Fontana CA 92336-3800 Ph: (909) 756-3583 |
| NPI Number | 1881256857 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 07/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881256857 | NPI | - | NPPES |
| 005947 | Other | CA | HEALTHCARE ALLIANCE |
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