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MONTE VISTA PHYSICIANS A MEDICAL CORPORATION NPI 1326573437


NPI Information

NPI: 1326573437
Provider Name: MONTE VISTA PHYSICIANS A MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
914 W FOOTHILL BLVD STE A
UPLAND, CA
ZIP 91786
Phone: (909) 931-0069
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MONTE VISTA PHYSICIANS A MEDICAL CORPORATION is a family medicine in Upland, 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. MONTE VISTA PHYSICIANS A MEDICAL CORPORATION NPI is 1326573437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 W FOOTHILL BLVD STE A
UPLAND, CA
ZIP 91786-785
Phone: (909) 931-0069
Fax: (909) 625-4954

The provider's authorized official is Jose De La Llana .
The authorized official title is Primary Care Provider and has the following contact phone number (909) 931-0069.

The enumeration date for this NPI number is 4/26/2017 and was last updated on 1/24/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA44835CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A448351MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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