Ceravo

Specialty details in registry · Upland, CA

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At a glance

517 N Mountain Ave Ste 206, Upland, CA 91786-5016

NPPES record updated Feb 10, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

517 N Mountain Ave Ste 206
Upland, CA 91786-5016

Additional reported practice locations

1852 Ambrosia Ave
Upland, CA 917849214
Phone: 9099007340

Professional details: NPI, taxonomy & registry record

NPI1063055671

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 343900000X
Enumeration date: Oct 26, 2019
Record updated: Feb 10, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

343900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

517 N Mountain Ave Ste 206
Upland, CA 91786-5016

Phone: (909) 912-0191

Mailing address

517 N MOUNTAIN AVE STE 206

UPLAND, CA 917865016

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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