Our Family Medical Group, INC.
Internal Medicine, Gastroenterology in Chino, CA. Organization (NPI-2).
NPI number1982419081
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1982419081
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Family Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Feb 7, 2025
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
5475 Walnut Ave1st Floor, Suite H
Chino, CA 91710-2609
Phone 909-591-6446 · Fax 909-591-1309
Mailing address
840 Towne Center DrPomona, CA 91767-5900
Authorized official
Angelica K Aldaraca
Credentialing Manager
9092367994
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