Organization · Type 2 NPI
Creative Child and Family Services, Inc.
Addiction Medicine (Family Medicine) Physician · Eastvale, CA
NPI number
1720645328
Active
Practice location
7049 Ohio River Dr
Eastvale, CA 91752
Fax (951) 479-5169
Mailing address
1655 E. 6th Street, A-4 #102
Corona, CA 92879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1720645328
Creative Child and Family Services, Inc.'s National Provider Identifier is 1720645328, issued on May 20, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Eastvale, CA. The record was last updated on May 20, 2019.