Healthcare Provider Details

I. General information

NPI: 1851779086
Provider Name (Legal Business Name): CMS MEDICAL BILING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 05/21/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E WILLOW ST
ONTARIO CA
91764-3831
US

IV. Provider business mailing address

726 E WILLOW ST
ONTARIO CA
91764-3831
US

V. Phone/Fax

Practice location:
  • Phone: 909-331-8503
  • Fax: 619-230-5199
Mailing address:
  • Phone: 909-331-8503
  • Fax: 619-230-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE LAVILLIE
Title or Position: OWNER
Credential:
Phone: 909-331-8503