Saint Anne Medical Providers, Inc. | |
9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 | |
(909) 230-0101 | |
Not Available |
Full Name | Saint Anne Medical Providers, Inc. |
---|---|
Speciality | Family Medicine |
Location | 9655 Monte Vista Ave Ste 405, Montclair, California |
Authorized Official Name and Position | Amy Bautista (PRESIDENT/OWNER) |
Authorized Official Contact | 9092300101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Saint Anne Medical Providers, Inc. 9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 Ph: (909) 230-0101 | Saint Anne Medical Providers, Inc. 9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 Ph: (909) 230-0101 |
NPI Number | 1700459658 |
---|---|
Provider Enumeration Date | 07/20/2021 |
Last Update Date | 07/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700459658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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