Avencrest Holgings LLC
Clinic/Center, Urgent Care in Rancho Cucamonga, CA. Organization (NPI-2).
NPI number1295648558
StatusActive
Last updated in NPPESSep 25, 2026
Details
- NPI
- 1295648558
- Entity type
- Organization (NPI-2)
- Legal business name
- Avencrest Holgings LLC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2026
- Certification date
- Sep 25, 2026
- Last updated
- Sep 25, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
11660 Church St Apt 88Rancho Cucamonga, CA 91730-8922
Phone 386-222-2320
Mailing address
11660 Church St Apt 88Rancho Cucamonga, CA 91730-8922
Phone 386-222-2320
Authorized official
Ritik Ritik
Owner
3862222320
Is something wrong?
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