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JDCM CORPORATION NPI 1942793658


NPI Information

NPI: 1942793658
Provider Name: JDCM CORPORATION

Doing Business As: TRINITY MEDICAL CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2098791

Address:
1749 S EUCLID AVE STE A
ONTARIO, CA
ZIP 91762
Phone: (909) 972-0300
Get Directions

JDCM CORPORATION is a primary care clinic center in Ontario, CA. JDCM CORPORATION NPI is 1942793658. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Medical Clinic.

The provider's business location address is:

1749 S EUCLID AVE STE A
ONTARIO, CA
ZIP 91762-832
Phone: (909) 972-0300
Fax: (909) 984-4878

The provider's authorized official is Corazon C Manapat .
The authorized official title is President and has the following contact phone number (909) 972-0300.

The CLIA number assigned to this NPI record is 05D2098791 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2018 and was last updated on 6/8/2018.


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
1261Q00000XClinic/CenterNo
2261QU0200XClinic/CenterUrgent CareNo
3261QP2300XClinic/CenterPrimary CareYes

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: 11/14/2023

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