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General NPI Number Information
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NPI Number | 1326599424
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Entity Type | Organization
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Legal Business Name | MEDICAL HEALTH CLINIC SALUD & FAMILIA, A PROFESSIONAL CORPORTATION
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 1019 E HOLT AVE STE A
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City | POMONA
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State | CA
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Zip | 91767-5720
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Country | US
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Telephone | 909-623-7799
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Fax |
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Provider Business Mailing Address
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Address Line | 1019 E HOLT AVE STE A
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City | POMONA
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State | CA
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Zip | 91767-5720
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Country | US
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Telephone | 909-623-7799
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SONIA Y TOVAR
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Credential | FNP
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Telephone | 909-623-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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