Centerline Diagnostics | |
154 W Foothill Blvd Suite#518 Upland CA 91786-8702 | |
(310) 954-9511 | |
(310) 817-6364 |
Full Name | Centerline Diagnostics |
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Speciality | Internal Medicine |
Location | 154 W Foothill Blvd, Upland, California |
Authorized Official Name and Position | Sanjivan Singh Kohli (OWNER) |
Authorized Official Contact | 3109549511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centerline Diagnostics 154 W Foothill Blvd Suite#518 Upland CA 91786-8702 Ph: (310) 954-9511 | Centerline Diagnostics 154 W Foothill Blvd Suite#518 Upland CA 91786-8702 Ph: (310) 954-9511 |
NPI Number | 1992183602 |
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Provider Enumeration Date | 05/13/2015 |
Last Update Date | 05/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992183602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A109968 (California) | Primary |
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