| Thc - Orange County, LLC | |
|
550 N Monterey Ave Ontario CA 91764 | |
| (909) 391-0333 | |
| (909) 391-2892 |
| Full Name | Thc - Orange County, LLC |
|---|---|
| Speciality | General Practice |
| Location | 550 N Monterey Ave, Ontario, California |
| Authorized Official Name and Position | Mostafa Adam Darvish (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7148934541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thc - Orange County, LLC 550 N Monterey Ave Ontario CA 91764-3318 Ph: (909) 391-0333 | Thc - Orange County, LLC 550 N Monterey Ave Ontario CA 91764 Ph: (909) 391-0333 |
| NPI Number | 1578795738 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578795738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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