| Californi Medical Clinic Inc | |
|
16701 Valley Blvd Fontana CA 92335-6696 | |
| (909) 467-1605 | |
| (909) 467-1608 |
| Full Name | Californi Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16701 Valley Blvd, Fontana, California |
| Authorized Official Name and Position | Leland Mathew Luna (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9094671605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Californi Medical Clinic Inc 16701 Valley Blvd Fontana CA 92335-6696 Ph: (909) 467-1605 | Californi Medical Clinic Inc 16701 Valley Blvd Fontana CA 92335-6696 Ph: (909) 467-1605 |
| NPI Number | 1215022918 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215022918 | NPI | - | NPPES |
| 5095137 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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