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Thc - Orange County, Llc
General Practice Physician in Ontario, California
NPI 1578795738

Thc - Orange County, Llc is a General Practice Physician based in Ontario, CA. Thc - Orange County, Llc practices in Ontario, CA. The NPI Number for Thc - Orange County, Llc is 1578795738 and holds a License No. (California).

The current practice location address for Thc - Orange County, Llc is 550 N Monterey Ave, Ontario, CA and can be reached out via phone at 909-391-0333 and via fax at 909-391-2892.

Location: 550 N Monterey Ave, Ontario, CA, 91764-3318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578795738
Provider Name
Thc - Orange County, Llc
Credential
Provider Entity Type
Organization
Address
550 N Monterey Ave, Ontario, CA, 91764-3318
Phone Number
909-391-0333
Fax Number
909-391-2892
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSP30041K 05 CA
ZZZ94036Z 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
550 N Monterey Ave
City
Ontario
State
California
Zip
91764
Phone Number
909-391-0333
Fax Number
909-391-2892
person
Provider Business Mailing Address Details
Address
550 N Monterey Ave
City
Ontario
State
California
Zip
91764
Phone Number
909-391-0333
Fax Number
909-391-2892
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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