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1151 E Walnut St Ontario CA 91761-6155 | |
| (909) 467-0797 | |
| (877) 778-8097 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1151 E Walnut St, Ontario, California |
| Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT, CLINIC OPERATIONS) |
| Authorized Official Contact | 6263462455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 Ph: (626) 346-2455 | 1151 E Walnut St Ontario CA 91761-6155 Ph: (909) 467-0797 |
| NPI Number | 1568734267 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568734267 | NPI | - | NPPES |
| APPROVED EFF:1/31/12 | Medicaid | CA | |
| DU4034-EFF. 3/10/12 | Other | CA | RAILROAD MEDICARE |
| APPROVED EFF:1/31/12 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 208000000X | Pediatrics | (California) | Secondary |
Friends Of Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 W 4th St, Ontario, CA 91762 Phone: 909-363-9300 Fax: 562-690-3182 | |
Las Palmas Medical Group Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 N Euclid Ave, Suite A, Ontario, CA 91762 Phone: 909-391-3448 | |
Ageless Health Group, A Professional Corp Nursing Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 E E St, Ontario, CA 91764 Phone: 909-435-4707 | |
Orion Internal Medicine Associates, Apc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 N Mountain Ave, Suite#206, Ontario, CA 91762 Phone: 562-912-2690 Fax: 310-817-6364 | |
Unicare Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 W E St, Ontario, CA 91762 Phone: 909-988-2555 Fax: 909-391-3081 | |