Organization · Type 2 NPI

Ultimate Medical Practice A Professional Corporation

Primary Care Clinic/Center · Highland, CA

NPI number 1962659573 Active

Practice location

3654 Highland Ave, Suite 15
Highland, CA 92346-2614

Fax (909) 864-1625

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XA55122 (CA)

Primary Care Clinic/Center: Definition to come...

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About NPI 1962659573

Ultimate Medical Practice A Professional Corporation's National Provider Identifier is 1962659573, issued on Aug 26, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Highland, CA. The record was last updated on Mar 4, 2009.