| Trucare Ipa Inc | |
|
1749 S Euclid Ave Ste A Ontario CA 91762-5832 | |
| (909) 972-0300 | |
| (909) 984-4878 |
| Full Name | Trucare Ipa Inc |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 1749 S Euclid Ave Ste A, Ontario, California |
| Authorized Official Name and Position | Jose Benito Alvarez De La Llana (PRESIDENT) |
| Authorized Official Contact | 9099617881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trucare Ipa Inc 1749 S Euclid Ave Ste A Ontario CA 91762-5832 Ph: (909) 972-0300 | Trucare Ipa Inc 1749 S Euclid Ave Ste A Ontario CA 91762-5832 Ph: (909) 972-0300 |
| NPI Number | 1629729355 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629729355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 302F00000X | Exclusive Provider Organization | (* (Not Available)) | Primary |
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