NPI 1003489402

Bluemedplus

Organisation General Practice Physician Rancho Cucamonga, CA

Practice location

Address: 10970 Arrow Rte STE 205, Rancho Cucamonga, CA 91730-4839
Phone: (909) 446-2304

Authorised official

Name: Afolarin Ayetiwa
Title: Ceo
Phone: (909) 446-2329

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in California →

Registry record

NPI: 1003489402
Entity type: Organization
NPI issued: 22 Jul 2021
Record last updated: 22 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.