Organization · Type 2 NPI
Montclair Vida Health Clinic PC
Health Service Clinic/Center · Montclair, CA
NPI number
1699034827
Active
Practice location
5404 Moreno St, Suite N&p
Montclair, CA 91763
Fax (909) 949-4441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 20A8311 (CA) |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
Other health service clinic/center providers in Montclair
About NPI 1699034827
Montclair Vida Health Clinic PC's National Provider Identifier is 1699034827, issued on May 8, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Montclair, CA. The record was last updated on Jun 7, 2018.