Whalio Doctors

NPI 1316661549

Alta Medical Clinic INC of California

Organisation General Practice Physician Rancho Cucamonga, CA

Practice location

Address
9836 Foothill Blvd STE 610, Rancho Cucamonga, CA 91730-3660
Phone
(909) 236-0338

Authorised official

Name
Peterson Go
Title
President
Phone
(909) 236-0338

Registered specialties (2)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Behavioral Neurology & Neuropsychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084B0040X

Registry record

NPI
1316661549
Entity type
Organization
NPI issued
30 Sep 2022
Record last updated
30 Sep 2022

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.