NPI 1316661549
Alta Medical Clinic INC of California
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
Behavioral Neurology & Neuropsychiatry Physician
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.