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San Miguel Community Clinic
General Practice Physician in Pomona, California
NPI 1942548342

San Miguel Community Clinic is a General Practice Physician based in Pomona, CA. San Miguel Community Clinic practices in Pomona, CA. The NPI Number for San Miguel Community Clinic is 1942548342 and holds a License No. (California).

The current practice location address for San Miguel Community Clinic is 825 N Park Ave, Pomona, CA and can be reached out via phone at 909-622-9988 and via fax at 909-622-3452.

Location: 825 N Park Ave, Pomona, CA, 91768-3002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942548342
Provider Name
San Miguel Community Clinic
Credential
Provider Entity Type
Organization
Address
825 N Park Ave, Pomona, CA, 91768-3002
Phone Number
909-622-9988
Fax Number
909-622-3452
Provider Enumeration Date
01/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0016851 05 CA
institution
Provider Business Practice Location Address Details
Address
825 N Park Ave
City
Pomona
State
California
Zip
91768-3002
Phone Number
909-622-9988
Fax Number
909-622-3452
person
Provider Business Mailing Address Details
Address
825 N Park Ave
City
Pomona
State
California
Zip
91768-3002
Phone Number
909-622-9988
Fax Number
909-622-3452
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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