ALAV MEDICAL CORPORATION NPI 1104016468

NPI Information

ALAV MEDICAL CORPORATION is a family medicine in Fontana, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALAV MEDICAL CORPORATION NPI is 1104016468. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16465 SIERRA LAKES PKWY
STE 220
FONTANA, CA
ZIP 92336-242
Phone: (909) 434-1123
Fax: (909) 261-8082

The provider's authorized official is Faramarz Alav .
The authorized official title is President and has the following contact phone number (909) 261-8082.

The CLIA number assigned to this NPI record is 05D1079199 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 3/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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