CUCAMONGA VALLEY MEDICAL GROUP INC. NPI 1497783229

NPI Information

CUCAMONGA VALLEY MEDICAL GROUP, INC. 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. CUCAMONGA VALLEY MEDICAL GROUP, INC. NPI is 1497783229. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16465 SIERRA LAKES PARKWAY
#300
FONTANA, CA
ZIP 92336
Phone: (909) 429-2864
Fax: (909) 429-2868

The provider's authorized official is Kyle Nelson Smart .
The authorized official title is President and has the following contact phone number (909) 429-2864.

The CLIA number assigned to this NPI record is 05D2165278 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/29/2013.

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:

Other Identifiers

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