NPI 1578795738

Thc - Orange County, LLC

Organisation General Practice Physician Ontario, CA

Practice location

Address: 550 N Monterey Ave, Ontario, CA 91764
Phone: (909) 391-0333
Fax: (909) 391-2892
Mailing address: 550 N Monterey Ave, Ontario, CA 91764-3318

Authorised official

Name: Mostafa Adam Darvish
Title: Executive Director
Phone: (714) 893-4541

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1578795738
Entity type: Organization
NPI issued: 20 Aug 2009
Record last updated: 19 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.