SAN MIGUEL COMMUNITY CLINIC NPI 1942548342

NPI Information

SAN MIGUEL COMMUNITY CLINIC is a general practice in Pomona, CA. SAN MIGUEL COMMUNITY CLINIC NPI is 1942548342. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

825 N PARK AVE
POMONA, CA
ZIP 91768-002
Phone: (909) 622-9988
Fax: (909) 622-3452

The provider's authorized official is Kj Laessig .
The authorized official title is Executive Director and has the following contact phone number (213) 742-0255.

The enumeration date for this NPI number is 1/21/2013 and was last updated on 1/21/2013.

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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