San Dimas Family Care Inc. | |
150 W. Foothill Blvd. San Dimas CA 91773-1102 | |
(909) 599-9921 | |
(909) 592-3147 |
Full Name | San Dimas Family Care Inc. |
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Speciality | Family Medicine |
Location | 150 W. Foothill Blvd., San Dimas, California |
Authorized Official Name and Position | Clifford L. Sussman (OWNER/PRESIDENT) |
Authorized Official Contact | 9095999921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Dimas Family Care Inc. 150 W. Foothill Blvd San Dimas CA 91773-1102 Ph: (909) 599-9921 | San Dimas Family Care Inc. 150 W. Foothill Blvd. San Dimas CA 91773-1102 Ph: (909) 599-9921 |
NPI Number | 1104856947 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 12/11/2008 |
Identifier | Type | State | Issuer |
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1104856947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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