| Hostasa Clinic Inc | |
|
212 W Foothill Blvd Ste E Glendora CA 91741-3356 | |
| (747) 250-3567 | |
| Not Available |
| Full Name | Hostasa Clinic Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 212 W Foothill Blvd Ste E, Glendora, California |
| Authorized Official Name and Position | David Hostasa (CEO) |
| Authorized Official Contact | 7472503567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hostasa Clinic Inc 212 W Foothill Blvd Ste E Glendora CA 91741-3356 Ph: (747) 250-3567 | Hostasa Clinic Inc 212 W Foothill Blvd Ste E Glendora CA 91741-3356 Ph: (747) 250-3567 |
| NPI Number | 1043116916 |
|---|---|
| Provider Enumeration Date | 10/17/2026 |
| Last Update Date | 10/17/2026 |
| Certification Date | 10/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043116916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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