| Sparks Medical Corp | |
|
8906 San Bernardino Rd Ste 140 Rancho Cucamonga CA 91730-8806 | |
| (909) 204-2797 | |
| Not Available |
| Full Name | Sparks Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 8906 San Bernardino Rd Ste 140, Rancho Cucamonga, California |
| Authorized Official Name and Position | Chad Sparks (PRESIDENT) |
| Authorized Official Contact | 3109569980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Medical Corp Po Box 10173 Torrance CA 90505-0973 Ph: () - | Sparks Medical Corp 8906 San Bernardino Rd Ste 140 Rancho Cucamonga CA 91730-8806 Ph: (909) 204-2797 |
| NPI Number | 1093514101 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093514101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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