NPI 1255738241
Southern California Picc Providers, INC.
Practice location
- Address
- 5787 Little Shay Dr, Fontana, CA 92336
- Phone
- (909) 251-7730
- Fax
- (909) 251-7735
- Mailing address
- 5787 Little Shay Dr, Fontana, CA 92336-4593
Authorised official
- Name
- Maria Catherine Koh Chua
- Title
- Member of the Board
- Phone
- (909) 945-9899
Registered specialties
Vascular Specialist/Technologist Cardiovascular
Primary
Registry record
- NPI
- 1255738241
- Entity type
- Organization
- NPI issued
- 19 Nov 2014
- Record last updated
- 13 Jul 2018
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.