| Align Medicine Inc | |
|
1260 E Arrow Hwy Upland CA 91786-4982 | |
| (909) 579-0243 | |
| Not Available |
| Full Name | Align Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1260 E Arrow Hwy, Upland, California |
| Authorized Official Name and Position | John Daliva (OWNER) |
| Authorized Official Contact | 9092270750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Medicine Inc Po Box 2698 Chino Hills CA 91709-0090 Ph: (909) 227-0750 | Align Medicine Inc 1260 E Arrow Hwy Upland CA 91786-4982 Ph: (909) 579-0243 |
| NPI Number | 1851057715 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 5092107664 |
|---|---|
| Medicare Enrollment ID | O20220112001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851057715 | NPI | - | NPPES |
| 20A17362 | Other | CA | OSTEOPATHIC MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John G Daliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760836662 PECOS PAC ID: 3476970773 Enrollment ID: I20200901002834 |
| Provider Name | Kyaw Z Lin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255795357 PECOS PAC ID: 7810241650 Enrollment ID: I20211103001909 |
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