institution
Clinica Medica Centro Laser Hispano Inc.
General Practice Physician in Ontario, California
NPI 1174658322

Clinica Medica Centro Laser Hispano Inc. is a General Practice Physician based in Ontario, CA. Clinica Medica Centro Laser Hispano Inc. practices in Ontario, CA. The NPI Number for Clinica Medica Centro Laser Hispano Inc. is 1174658322 and holds a License No. A32553 (California).

The current practice location address for Clinica Medica Centro Laser Hispano Inc. is 1341 E 4Th St, Ontario, CA and can be reached out via phone at 909-467-1445 and via fax at 909-467-1446.

Location: 1341 E 4Th St, Ontario, CA, 91764-3034
institution
Provider Profile Details
NPI Number
1174658322
Provider Name
Clinica Medica Centro Laser Hispano Inc.
Credential
Provider Entity Type
Organization
Address
1341 E 4Th St, Ontario, CA, 91764-3034
Phone Number
909-467-1445
Fax Number
909-467-1446
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A325530 01 CA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1341 E 4Th St
City
State
Zip
91764-3034
Phone Number
909-467-1445
Fax Number
909-467-1446
person
Provider Business Mailing Address Details
Address
1341 E 4Th St
City
State
Zip
91764-3034
Phone Number
909-467-1445
Fax Number
909-467-1446
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A32553 (California)
Definition
Definition to come...
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