| Alfred B Dadivas Md Inc | |
|
7950 Cherry Ave Suite 106 Fontana CA 92336-4023 | |
| (909) 350-2400 | |
| (909) 350-2480 |
| Full Name | Alfred B Dadivas Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7950 Cherry Ave, Fontana, California |
| Authorized Official Name and Position | Alfred B Dadivas (PRESIDENT) |
| Authorized Official Contact | 9093502400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfred B Dadivas Md Inc 7950 Cherry Ave Suite 106 Fontana CA 92336-4023 Ph: (909) 350-2400 | Alfred B Dadivas Md Inc 7950 Cherry Ave Suite 106 Fontana CA 92336-4023 Ph: (909) 350-2400 |
| NPI Number | 1184806606 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184806606 | NPI | - | NPPES |
| 00A485220 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A48522 (California) | Primary |
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