| Saint Anne Medical Providers, Inc. | |
|
9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 | |
| (909) 230-0101 | |
| Not Available |
| Full Name | Saint Anne Medical Providers, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9655 Monte Vista Ave Ste 405, Montclair, California |
| Authorized Official Name and Position | Amy Bautista (PRESIDENT/OWNER) |
| Authorized Official Contact | 9092300101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Anne Medical Providers, Inc. 9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 Ph: (909) 230-0101 | Saint Anne Medical Providers, Inc. 9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 Ph: (909) 230-0101 |
| NPI Number | 1700459658 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700459658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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