Healthcare Provider Details

I. General information

NPI: 1265272736
Provider Name (Legal Business Name): ONE HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 N 2ND AVE
UPLAND CA
91786-6019
US

IV. Provider business mailing address

199 N 2ND AVE
UPLAND CA
91786-6019
US

V. Phone/Fax

Practice location:
  • Phone: 909-321-9000
  • Fax: 909-321-2660
Mailing address:
  • Phone: 909-321-9000
  • Fax: 909-321-2660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERRY CHASE
Title or Position: CEO
Credential: PH.D.
Phone: 909-321-9000