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General NPI Number Information
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NPI Number | 1700256864
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Entity Type | Organization
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Legal Business Name | U.S. HEALTHWORKS MEDICAL GROUP, PC
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 15302 EL PRADO RD
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City | CHINO
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State | CA
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Zip | 91710-7659
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Country | US
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Telephone | 909-393-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 25124 SPRINGFIELD CT SUITE 200
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City | VALENCIA
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State | CA
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Zip | 91355-1085
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Country | US
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Telephone | 661-678-2600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CHIEF OPERATING OFFICER
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Name | MR. JOSEPH T MALLAS
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Credential |
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Telephone | 661-678-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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