CHINO MEDICAL GROUP INC NPI 1790730786

NPI Information

CHINO MEDICAL GROUP, INC is a family medicine in Chino, 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. CHINO MEDICAL GROUP, INC NPI is 1790730786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As My Family Medical Group.

The provider's business location address is:

5475 WALNUT AVE
CHINO, CA
ZIP 91710-609
Phone: (909) 591-6446
Fax: (909) 591-1309

The provider's authorized official is Jose Alex Lira .
The authorized official title is Medical Director and has the following contact phone number (909) 591-6446.

The CLIA number assigned to this NPI record is 05D0562214 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/15/2011.

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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