| Valley Star Tay One Stop Center | |
|
316 E E St Ontario CA 91764-3712 | |
| (909) 983-4465 | |
| Not Available |
| Full Name | Valley Star Tay One Stop Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 316 E E St, Ontario, California |
| Authorized Official Name and Position | Ken Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 3102216336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Star Tay One Stop Center 316 E E St Ontario CA 91764-3712 Ph: (909) 983-4465 | Valley Star Tay One Stop Center 316 E E St Ontario CA 91764-3712 Ph: (909) 983-4465 |
| NPI Number | 1194593616 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 03/08/2024 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194593616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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