NPI: 1891003869
Provider Name: ANTONIO HURTADO RODRIGUEZ M.D., A PROFESSIONAL CORPORATION
Doing Business As: ANTONIO HURTADO RODRIGUEZ, M.D., A PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization
Specialization: Primary Care
CLIA Number: 05D2005319
Address:
630 N PARK AVE
POMONA, CA
ZIP 91768
Phone: (909) 622-3700
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ANTONIO HURTADO RODRIGUEZ M.D., A PROFESSIONAL CORPORATION is a primary care clinic center in Pomona, CA. ANTONIO HURTADO RODRIGUEZ M.D., A PROFESSIONAL CORPORATION NPI is 1891003869. The provider is registered as an organization entity type.
The provider Is Doing Business As Antonio Hurtado Rodriguez, M.d., A Professional Corporation.
The provider's business location address is:
630 N PARK AVE
POMONA, CA
ZIP 91768-621
Phone: (909) 622-3700
Fax: (909) 622-3744
The provider's authorized official is Antonio Hurtado Rodriguez .
The authorized official title is Ceo and has the following contact phone number (909) 622-3700.
The CLIA number assigned to this NPI record is 05D2005319 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/23/2010 and was last updated on 2/2/2020.