| Dwight J. Goddard, M.D., Inc. | |
|
9190 Haven Ave Ste 102 Rancho Cucamonga CA 91730-5431 | |
| (909) 981-0989 | |
| (909) 948-9110 |
| Full Name | Dwight J. Goddard, M.D., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9190 Haven Ave Ste 102, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jacqueline Vela (CONTRACTS MANAGER) |
| Authorized Official Contact | 9093448934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight J. Goddard, M.D., Inc. 840 Towne Center Dr Pomona CA 91767-5900 Ph: (909) 398-1550 | Dwight J. Goddard, M.D., Inc. 9190 Haven Ave Ste 102 Rancho Cucamonga CA 91730-5431 Ph: (909) 981-0989 |
| NPI Number | 1518583004 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518583004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Carlos R. Vigil, D.O. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 |
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Andrea Tieng, MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8283 Grove Ave Ste 206, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215 |
Prohealth Partners a Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 |
Our Family Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9190 Haven Ave Ste 200, Rancho Cucamonga, CA 91730 Phone: 909-256-7890 Fax: 909-256-7910 |