| Rialto Community Medical Clinic | |
|
195 E Foothill Blvd Rialto CA 92376-5165 | |
| (909) 874-3490 | |
| (909) 874-3470 |
| Full Name | Rialto Community Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 195 E Foothill Blvd, Rialto, California |
| Authorized Official Name and Position | Alberto Marcelino Cruz (OWNER/PRESIDENT) |
| Authorized Official Contact | 9098743490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rialto Community Medical Clinic 195 E Foothill Blvd Rialto CA 92376-5165 Ph: (909) 874-3490 | Rialto Community Medical Clinic 195 E Foothill Blvd Rialto CA 92376-5165 Ph: (909) 874-3490 |
| NPI Number | 1841339355 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841339355 | NPI | - | NPPES |
| 00A539860 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A53986 (California) | Primary |
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