Pomona Community Health Center
Clinic/Center, Dental in Ontario, CA. Organization (NPI-2).
NPI number1962033902
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1962033902
- Entity type
- Organization (NPI-2)
- Legal business name
- Pomona Community Health Center
- Organization subpart
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Parktree Community Health Center (Doing Business As)
Practice location
720 N Sultana AveOntario, CA 91764-3235
Phone 909-630-7927
Mailing address
1450 E Holt AvePomona, CA 91767-5822
Phone 909-630-7927 · Fax 909-620-6719
Authorized official
David Michael Kadar
Chief Executive Officer
9096307939
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