NPI 1508580523

Alta Medical Group 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

Other General Practice providers in California →

Behavioral Neurology & Neuropsychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084B0040X

Other Psychiatry & Neurology providers in California →

Registry record

NPI: 1508580523
Entity type: Organization
NPI issued: 3 Oct 2022
Record last updated: 3 Oct 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.