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D Starks Md Incorporated
Medical Specialty Clinic/Center in Montclair, California
NPI 1154555795

D Starks Md Incorporated is a Medical Specialty Clinic/Center based in Montclair, CA and is specialized in Medical Specialty. D Starks Md Incorporated practices in Montclair, CA. The NPI Number for D Starks Md Incorporated is 1154555795 and holds a License No. G49823 (California).

The current practice location address for D Starks Md Incorporated is 5153 Holt Blvd, Montclair, CA and can be reached out via phone at 909-625-0661 and via fax at 909-625-7761.

Location: 5153 Holt Blvd, Montclair, CA, 91763-4837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154555795
Provider Name
D Starks Md Incorporated
Credential
Provider Entity Type
Organization
Address
5153 Holt Blvd, Montclair, CA, 91763-4837
Phone Number
909-625-0661
Fax Number
909-625-7761
Provider Enumeration Date
05/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G498230 05 CA
institution
Provider Business Practice Location Address Details
Address
5153 Holt Blvd
City
Montclair
State
California
Zip
91763-4837
Phone Number
909-625-0661
Fax Number
909-625-7761
person
Provider Business Mailing Address Details
Address
5153 Holt Blvd
City
Montclair
State
California
Zip
91763-4837
Phone Number
909-625-0661
Fax Number
909-625-7761
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G49823 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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