Organization · NPI-2

Acevedo Medical Group, A Medical Corporation

Family Medicine · Pomona, CA

NPI number1952590523
StatusActive
Last updated in NPPESMar 4, 2009

Details

NPI
1952590523
Entity type
Organization (NPI-2)
Legal business name
Acevedo Medical Group, A Medical Corporation
Organization subpart
No
Enumeration date
Oct 19, 2007
Last updated
Mar 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA74961CAYes

Other names

  • Pomona Family Medical Clinic (Doing Business As)

Practice location

1818 N Orange Grove Ave
Ste 305
Pomona, CA 91767-3028

Phone 909-622-2345 · Fax 909-397-7654

Mailing address

1818 N Orange Grove Ave
Ste 305
Pomona, CA 91767-3028

Phone 909-622-2345 · Fax 909-397-7654

Authorized official

Loreto M Acevedo-Carmona
Business Manager/Administrator
9096222345

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