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Namita Mohideen Md Inc
Primary Care Clinic/Center in Fontana, California
NPI 1649546144

Namita Mohideen Md Inc is a Primary Care Clinic/Center based in Fontana, CA and is specialized in Primary Care. Namita Mohideen Md Inc practices in Fontana, CA. The NPI Number for Namita Mohideen Md Inc is 1649546144 and holds a License No. A55769 (California).

The current practice location address for Namita Mohideen Md Inc is 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA and can be reached out via phone at 909-823-8000 and via fax at 909-823-8088.

Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA, 92336-1242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649546144
Provider Name
Namita Mohideen Md Inc
Credential
Provider Entity Type
Organization
Address
16465 Sierra Lakes Pkwy Ste 115, Fontana, CA, 92336-1242
Phone Number
909-823-8000
Fax Number
909-823-8088
Provider Enumeration Date
03/29/2012
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
16465 Sierra Lakes Pkwy Ste 115
City
Fontana
State
California
Zip
92336-1242
Phone Number
909-823-8000
Fax Number
909-823-8088
person
Provider Business Mailing Address Details
Address
16465 Sierra Lakes Pkwy Ste 115
City
Fontana
State
California
Zip
92336-1242
Phone Number
909-823-8000
Fax Number
909-823-8088
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A55769 (California)
Definition
Definition to come...
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