NPI 1174658322

Clinica Medica Centro Laser Hispano INC.

Organisation General Practice Physician Ontario, CA

Practice location

Address: 1341 E 4th St Unit B, Ontario, CA 91764-3034
Phone: (909) 467-1445
Fax: (909) 467-1446

Authorised official

Name: Marc Rifkin
Title: Director
Phone: (909) 467-1445

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A32553 (CA)

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Registry record

NPI: 1174658322
Entity type: Organization
NPI issued: 21 Feb 2007
Record last updated: 22 Aug 2020

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.