| Jose A Dheming Md Inc | |
|
5385 Walnut Ave # 4 Chino CA 91710-2605 | |
| (909) 902-9934 | |
| (909) 902-0754 |
| Full Name | Jose A Dheming Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 5385 Walnut Ave, Chino, California |
| Authorized Official Name and Position | Jose A Dheming (PRESIDENT) |
| Authorized Official Contact | 9099029934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A Dheming Md Inc 5385 Walnut Ave # 4 Chino CA 91710-2605 Ph: (909) 902-9934 | Jose A Dheming Md Inc 5385 Walnut Ave # 4 Chino CA 91710-2605 Ph: (909) 902-9934 |
| NPI Number | 1750462487 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750462487 | NPI | - | NPPES |
| 00A556110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A55611 (California) | Primary |
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