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Centinela Valley Ipa Medical Group
Contractor in San Dimas, California
NPI 1164552378

Centinela Valley Ipa Medical Group is a Contractor based in Covina, CA. Centinela Valley Ipa Medical Group practices in San Dimas, CA. The NPI Number for Centinela Valley Ipa Medical Group is 1164552378 and holds a License No. 171W00000X (California).

The current practice location address for Centinela Valley Ipa Medical Group is 955 Overland Ct Fl 2, San Dimas, CA and can be reached out via phone at 909-971-6717.

Location: 955 Overland Ct Fl 2, San Dimas, CA, 91723-0469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164552378
Provider Name
Centinela Valley Ipa Medical Group
Credential
Provider Entity Type
Organization
Address
955 Overland Ct Fl 2, San Dimas, CA, 91723-0469
Phone Number
909-971-6717
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
955 Overland Ct Fl 2
City
San Dimas
State
California
Zip
91773-1718
Phone Number
909-971-6717
Fax Number
person
Provider Business Mailing Address Details
Address
955 Overland Ct Fl 2
City
San Dimas
State
California
Zip
91773-1718
Phone Number
909-971-6717
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
171W00000X (California)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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