| Pliev Enterprises | |
|
633 W State St Suite H Ontario CA 91762-4200 | |
| (909) 988-1400 | |
| Not Available |
| Full Name | Pliev Enterprises |
|---|---|
| Speciality | General Practice |
| Location | 633 W State St, Ontario, California |
| Authorized Official Name and Position | Magomed Pliev (OWNER) |
| Authorized Official Contact | 9099881400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pliev Enterprises 633 W State St Suite H Ontario CA 91762-4200 Ph: (909) 988-1400 | Pliev Enterprises 633 W State St Suite H Ontario CA 91762-4200 Ph: (909) 988-1400 |
| NPI Number | 1477861995 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 09/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477861995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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