MEDICARE: UNIVERSAL POINT CLINICS CORPORATION

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	2083X0100X	Occupational Medicine Physician

General Provider Information

NPI Number	:	1023616240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL POINT CLINICS CORPORATION

Provider Business Mailing Address
First Line	:	1236 BROOKS ST
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3608
Country	:	US
Telephone Number	:	909-354-8881
Fax Number	:	909-354-8871

Provider Business Practice Location Address
First Line	:	1236 BROOKS ST
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3608
Country	:	US
Telephone Number	:	909-354-8881
Fax Number	:	909-354-8871

Authorized Official
Title or Position	:	MD AND OWNER
Name	:	ALIREZA ESHAFANE
Credential	:	MD
Telephone Number	:	909-354-8881

Provider Enumeration Date	:	10/09/2020
Last Update Date	:	10/09/2020

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Directions to “UNIVERSAL POINT CLINICS CORPORATION ” Practice Location

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