| Family Specialty Care Medical Group | |
|
13768 Roswell Ave Suite #120 Chino CA 91710-1401 | |
| (909) 396-1755 | |
| (909) 396-8268 |
| Full Name | Family Specialty Care Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 13768 Roswell Ave, Chino, California |
| Authorized Official Name and Position | Augustin A Lin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9093961755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Specialty Care Medical Group 3817 Grand Ave Ste B Pmb 225 Chino CA 91710-5443 Ph: (909) 396-1755 | Family Specialty Care Medical Group 13768 Roswell Ave Suite #120 Chino CA 91710-1401 Ph: (909) 396-1755 |
| NPI Number | 1689759276 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689759276 | NPI | - | NPPES |
| 20A6462 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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