| Villatoro Medical Group | |
|
1532 San Bernardino Ave Suite A2 Pomona CA 91767-3559 | |
| (909) 624-0392 | |
| (909) 624-0984 |
| Full Name | Villatoro Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 1532 San Bernardino Ave, Pomona, California |
| Authorized Official Name and Position | Paulino Antonio Villatoro (PRESIDENT/OWNER) |
| Authorized Official Contact | 9096240392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villatoro Medical Group 1532 E San Bernardino Ave Suite A2 Pomona CA 91767-3559 Ph: (909) 624-0392 | Villatoro Medical Group 1532 San Bernardino Ave Suite A2 Pomona CA 91767-3559 Ph: (909) 624-0392 |
| NPI Number | 1922291228 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922291228 | NPI | - | NPPES |
| 00A524911 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A52491 (California) | Primary |
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