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NPI Code Detail

MEDICARE: ONESTOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY

MEDICARE: ONESTOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY
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
1111NX0800XOrthopedic ChiropractorDC28576CA
2111NX0800XOrthopedic ChiropractorDC29308CA
3363AM0700XMedical Physician AssistantA37952CA

General Provider Information

NPI Number : 1740608678
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONESTOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY
Provider Business Mailing Address
First Line : 11328 KENYON WAY STE B
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91701-9291
Country : US
Telephone Number : 877-882-9832
Fax Number :
Provider Business Practice Location Address
First Line : 435 ORANGE SHOW LN STE 104
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92408-2015
Country : US
Telephone Number : 877-882-9832
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : EDUARDO ANGUIZOLA
Credential : MD
Telephone Number : 877-882-9832
Provider Enumeration Date : 03/28/2014
Last Update Date : 03/28/2014

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Directions to “ONESTOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.