05D2135237 CLIA NUMBER - RANCHO CLINICA MEDICA FAMILIAR

Laboratory Demographics

CLIA Number: 05D2135237

Facility Name: RANCHO CLINICA MEDICA FAMILIAR

Facility Address:
1871 E. 4TH ST
ONTARIO, CA
ZIP 91764
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Facility Phone Number: (909) 391-0022

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1326579525

Taxonomy: 207Q00000X - Family Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	05D2135237
LAB Type	PHYSICIAN OFFICE
Facility Name	RANCHO CLINICA MEDICA FAMILIAR
Street	1871 E. 4TH ST
City	ONTARIO
State	CA
ZIP	91764
Phone	(909) 391-0022

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This page was last updated on: 5/11/2023