Organization · Type 2 NPI

Dignity Health Medical Foundation

Multi-Specialty Clinic/Center · Fontana, CA

NPI number 1780226852 Active

Practice location

17051 Sierra Lakes Pkwy Ste 101
Fontana, CA 92336-1274

Call (909) 428-2040 Map

Fax (909) 428-2191

Mailing address

3400 Data Dr Fl 3
Rancho Cordova, CA 95670-7956

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

3 other providers at this address

Other multi-specialty clinic/center providers in Fontana

Lasalle Medical AssociatesMulti-Specialty Clinic/Center Fontana, CA NPI 1275661084

See all in Fontana →

NPI record

NPI: 1780226852
Entity type: Organization (Type 2)
Issued: Oct 10, 2019
Last updated: Nov 18, 2020
Status: Active
Subpart: Yes of Dignity Health Medical Foundation

Other names

<unavail>
Dignity Health Medical Network - Inland Empire · doing business as
Dignity Health Medical Network - Inland Empire · doing business as

Authorized official

Theresa M Hylen
Chief Financial Officer
(916) 851-2559

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About NPI 1780226852

Dignity Health Medical Foundation's National Provider Identifier is 1780226852, issued on Oct 10, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fontana, CA. The record was last updated on Nov 18, 2020.