institution
Pvch Clinical Laboratory Medical Group Inc
Medical Specialty Clinic/Center in Pomona Valley, California
NPI 1235265851

Pvch Clinical Laboratory Medical Group Inc is a Medical Specialty Clinic/Center based in Toledo, CA and is specialized in Medical Specialty. Pvch Clinical Laboratory Medical Group Inc practices in Pomona Valley, CA. The NPI Number for Pvch Clinical Laboratory Medical Group Inc is 1235265851 and holds a License No. (California).

The current practice location address for Pvch Clinical Laboratory Medical Group Inc is 1798 N. Garey Ave, Pomona Valley, CA and can be reached out via phone at 909-865-9500 and via fax at 419-866-5453.

Location: 1798 N. Garey Ave, Pomona Valley, CA, 43614-1509
institution
Provider Profile Details
NPI Number
1235265851
Provider Name
Pvch Clinical Laboratory Medical Group Inc
Credential
Provider Entity Type
Organization
Address
1798 N. Garey Ave, Pomona Valley, CA, 43614-1509
Phone Number
909-865-9500
Fax Number
419-866-5453
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0091610 05 CA
ZZZ39226Z 01 BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1798 N. Garey Ave
City
State
Zip
91767-2918
Phone Number
909-865-9500
Fax Number
419-866-5453
person
Provider Business Mailing Address Details
Address
1798 N. Garey Ave
City
State
Zip
91767-2918
Phone Number
909-865-9500
Fax Number
419-866-5453
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
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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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