Organization · Type 2 NPI

Centinela Valley Ipa Medical Group

Contractor · San Dimas, CA

NPI number 1164552378 Active

Practice location

955 Overland Ct Fl 2
San Dimas, CA 91773-1718

Call (909) 971-6717 Map

Mailing address

PO Box 4069
Covina, CA 91723-0469

Specialties and licenses

Taxonomy	Code	License
Contractor Primary	171W00000X	171W00000X (CA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1164552378

Centinela Valley Ipa Medical Group's National Provider Identifier is 1164552378, issued on Mar 6, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in San Dimas, CA. The record was last updated on Aug 22, 2020.