MEDICARE: MORNING STAR FAMILY MEDICINE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	20A12006	CA

General Provider Information

NPI Number	:	1629442785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORNING STAR FAMILY MEDICINE PC

Provider Business Mailing Address
First Line	:	99 N SAN ANTONIO AVE
Second Line	:	SUITE 330
City	:	UPLAND
State	:	CA
Zip	:	91786-4575
Country	:	US
Telephone Number	:	909-931-0446
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 N SAN ANTONIO AVE
Second Line	:	SUITE 330
City	:	UPLAND
State	:	CA
Zip	:	91786-4575
Country	:	US
Telephone Number	:	909-931-0446
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. EDWIN L FUENTES
Credential	:	D.O.
Telephone Number	:	909-931-0446

Provider Enumeration Date	:	11/30/2015
Last Update Date	:	11/30/2015

Similar Medicare Providers

1730280827 — DR. LOUIS H WATSON MD
Practice Location Address:

99 N SAN ANTONIO AVE , #140
UPLAND, CA
91786-4575

Practice Phone: 909-931-1800
Practice Fax: 909-931-1855

1528535523 — AMOR HOSPICE, LLC
Practice Location Address:

99 N SAN ANTONIO AVE STE 310
UPLAND, CA
91786-4575

Practice Phone: 650-392-5438
Practice Fax:

1093396020 — SILVERLINE HOSPICE & PALLIATIVE CARE, INC.
Practice Location Address:

99 N SAN ANTONIO AVE STE 335C
UPLAND, CA
91786-4575

Practice Phone: 818-825-4103
Practice Fax:

1083295018 — CALIFORNIA DESERT HOSPICE & PALLIATIVE CARE, INC.
Practice Location Address:

99 N SAN ANTONIO AVE STE 335D
UPLAND, CA
91786-4575

Practice Phone: 818-825-0847
Practice Fax:

1982285839 — RADIANCE HOSPICE & PALLIATIVE CARE, INC.
Practice Location Address:

99 N SAN ANTONIO AVE STE 335B
UPLAND, CA
91786-4575

Practice Phone: 909-587-7303
Practice Fax:

1376124222 — CRESCENT VALLEY HOSPICE & PALLIATIVE CARE, INC.
Practice Location Address:

99 N SAN ANTONIO AVE STE 335A
UPLAND, CA
91786-4575

Practice Phone: 818-257-9232
Practice Fax:

Directions to “MORNING STAR FAMILY MEDICINE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.