John Daliva, Do Inc | |
9620 Fremont Ave Montclair CA 91763-2320 | |
(909) 621-4751 | |
(909) 801-7008 |
Full Name | John Daliva, Do Inc |
---|---|
Speciality | Internal Medicine |
Location | 9620 Fremont Ave, Montclair, California |
Authorized Official Name and Position | John Daliva (OWNER) |
Authorized Official Contact | 8189436651 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John Daliva, Do Inc 16086 Apricot Ave Chino CA 91708-8885 Ph: (818) 943-6651 | John Daliva, Do Inc 9620 Fremont Ave Montclair CA 91763-2320 Ph: (909) 621-4751 |
NPI Number | 1710556667 |
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Provider Enumeration Date | 06/23/2021 |
Last Update Date | 06/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710556667 | NPI | - | NPPES |
20A17362 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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